Individual
DR. DEISY BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
3801 LAKEVIEW PKWY, #400, ROWLETT, TX 75088-4079
(469) 931-0130
(469) 931-0138
Mailing address
3801 LAKEVIEW PKWY, #400, ROWLETT, TX 75088-4079
(469) 931-0130
(469) 931-0138
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8076TG
TX
Other
Enumeration date
09/26/2012
Last updated
03/16/2017
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