Individual
DR. CHANDRA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(137) 791-1414
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38163
TX
Other
Enumeration date
07/23/2019
Last updated
02/18/2020
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