Vicente Bautista, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 04805 Issued in TX

Practice address

1102 W Trenton Rd
Edinburg, TX 78539-9105

Phone

(956) 388-6000

Fax

(956) 388-6071

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: vbautista80074@direct.utmb.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Texas Em-I Medical Services, P.a.

  • Emergency Medicine Physician
  • Edinburg, TX
  • NPI 1679528459
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1124038336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399105",
            "telephone_number": "956-388-6000",
            "fax_number": "956-388-6071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 W Expressway 83",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785994332",
            "country_code": "US",
            "telephone_number": "956-975-2300",
            "fax_number": "956-975-8850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 E Interstate Highway 2",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785725756",
            "country_code": "US",
            "telephone_number": "956-971-1200",
            "fax_number": "956-432-0413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797615001",
            "country_code": "US",
            "telephone_number": "432-640-1189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "VICENTE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA 04805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANTS",
            "identifier": "PA04805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francisca G Barroso, LPC
• Ranlie Basas, RN
• Darlene Basquez
• Davina Angel Bauman, BT
• Lilia Sinai Bautista
• Karen Itzel Bazan
• Karina Bazan
• Rene Bazan
• Rodney J Bazan, LVN
• Beacon Health Care PA

• Physician Assistant in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.