Individual
MARISSA DANIELLE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6560 FANNIN ST STE 1750, HOUSTON, TX 77030-2725
(713) 790-0400
(713) 791-2121
Mailing address
6560 FANNIN ST STE 1750, HOUSTON, TX 77030-2725
(713) 790-0400
(713) 791-2121
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1046651
TX
Other
Enumeration date
08/04/2021
Last updated
11/10/2023
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