Provider Demographics
NPI:1376616540
Name:BAUTISTA, DANA GAYE (RN,MS, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:GAYE
Last Name:BAUTISTA
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Gender:F
Credentials:RN,MS, FNP-C
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Mailing Address - Street 1:1655 KELLIWOOD OAKS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-4387
Mailing Address - Country:US
Mailing Address - Phone:281-398-4780
Mailing Address - Fax:281-398-8944
Practice Address - Street 1:1200 ENCLAVE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-1733
Practice Address - Country:US
Practice Address - Phone:281-870-1000
Practice Address - Fax:281-496-7588
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2012-07-06
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Provider Licenses
StateLicense IDTaxonomies
TX232287363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily