Individual
CHARISMA BAUTISTA EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, LACKLAND AFB, TX 78236
(210) 292-2798
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, LACKLAND AFB, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
T4153
TX
Other
Enumeration date
03/10/2010
Last updated
02/20/2025
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