Provider Demographics
NPI:1518052455
Name:BAUTISTA, RHESA DEL ROSARIO (DDS)
Entity Type:Individual
Prefix:
First Name:RHESA
Middle Name:DEL ROSARIO
Last Name:BAUTISTA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4418 ALMEDA RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-4902
Mailing Address - Country:US
Mailing Address - Phone:713-528-0040
Mailing Address - Fax:
Practice Address - Street 1:4418 ALMEDA RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-4902
Practice Address - Country:US
Practice Address - Phone:713-528-0040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX214311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice