MR. HERBERT VISPERAS BAUTISTA


Address: 5128 Pinewood Dr, Mckinney, TX 75071-8391
Phone: 2144914097

MR. HERBERT VISPERAS BAUTISTA (NPI# 1023665791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023665791
Entity Type Individual
Full Name MR. HERBERT VISPERAS BAUTISTA
Credential APRN, RN
Practice Address 5128 Pinewood Dr
Mckinney
TX 75071-8391
Practice Telephone 2144914097
Enumeration Date 2019-08-19
Last Update Date 2019-08-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
734547 TX Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
734547 TX Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
734547 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5128 PINEWOOD DR
City MCKINNEY
State TX
Zip Code 75071-8391

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City MCKINNEY
Zip Code 75071

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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