Mr Gonzalo Bautista Jr, | |
700 Scott And White Dr, College Station, TX 77845-6441 | |
(979) 207-0100 | |
(979) 207-2161 |
Full Name | Mr Gonzalo Bautista Jr |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 700 Scott And White Dr, College Station, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700220795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP124090 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Medical Center- College Stati | College station, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scott And White Clinic | 8123923604 | 2143 |
Entity Name | Scott & White Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Entity Name | Texans Anesthesia Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275733982 PECOS PAC ID: 8820171390 Enrollment ID: O20080207000456 |
Entity Name | Anesthesia Associates Of Bryan, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558751834 PECOS PAC ID: 1254659378 Enrollment ID: O20150421000717 |
Entity Name | Emergenchealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
Entity Name | Vascular Anesthesia Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346706173 PECOS PAC ID: 0941534770 Enrollment ID: O20190627000775 |
Entity Name | Sound Physicians Anesthesiology Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295356277 PECOS PAC ID: 1254751407 Enrollment ID: O20201009000612 |
Entity Name | Scott & White Hospital Brenham |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295464949 PECOS PAC ID: 5799719787 Enrollment ID: O20220719002610 |
Mailing Address | Practice Location Address |
---|---|
Mr Gonzalo Bautista Jr, Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Mr Gonzalo Bautista Jr, 700 Scott And White Dr, College Station, TX 77845-6441 Ph: (979) 207-0100 |
Mildred Guillermo Franco, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Nicole Rae Morris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
James Christopher Fine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Mr. Steven Christian Piwonka, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Stephanie K Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 Fax: 979-207-2161 | |
Cody Rapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1604 Rock Prairie Rd, College Station, TX 77845 Phone: 979-764-5100 | |
Mr. James Duncan Martin V, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 |