Individual
CARLOS BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN, CNOR, RNFA
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-8840
Mailing address
1415 WOODLAND HILLS DR, TYLER, TX 75701-8527
(903) 343-3388
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1024164
TX
Other
Enumeration date
05/11/2023
Last updated
12/01/2025
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