Teofilo S. Bautista, M.d., P.c in Gary, IN

Teofilo S. Bautista, M.d., P.c is a primary clinic (Clinic/center - Primary Care) in Gary, Indiana. The current practice location for Teofilo S. Bautista, M.d., P.c is 642 S Lake St, Gary, Indiana. For appointments, you can reach them via phone at (219) 938-4481. The mailing address for Teofilo S. Bautista, M.d., P.c is 642 S Lake St, Gary, Indiana and phone number is (219) 938-4481.

Teofilo S. Bautista, M.d., P.c is licensed to practice in Indiana (license number 01032450A) and its NPI number is 1215110200. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (219) 938-4481.

Contact Information

	Teofilo S. Bautista, M.d., P.c
	642 S Lake St Gary IN 46403-2967
	(219) 938-4481
	(219) 938-6480

Map and Direction

Primary Care Clinic Profile

Full Name	Teofilo S. Bautista, M.d., P.c
Speciality	Clinic/center - Primary Care
Location	642 S Lake St, Gary, Indiana
Authorized Official Name and Position	Teofilo Bautista (PRESIDENT)
Authorized Official Contact	2199384481
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Teofilo S. Bautista, M.d., P.c 642 S Lake St Gary IN 46403-2967 Ph: (219) 938-4481	Teofilo S. Bautista, M.d., P.c 642 S Lake St Gary IN 46403-2967 Ph: (219) 938-4481

NPI Details:

NPI Number	1215110200
Provider Enumeration Date	12/12/2007
Last Update Date	12/12/2007

Medical Identifiers

Medical identifiers for Teofilo S. Bautista, M.d., P.c such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215110200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	01032450A (Indiana)	Primary

Reviews and Comments

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Teofilo S. Bautista, M.d., P.c - Primary Care in Gary, IN