Individual provider · NPI-1
Lupita Bautista
Social Worker · Laredo, TX
NPI number1528148152
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1528148152
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lupita Bautista
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 21403 | TX | Yes |
Other names
- Lupita Reyes (Former Name)
Practice location
2335 E Saunders StSuite 2
Laredo, TX 78041-5434
Phone 956-791-4800 · Fax 956-791-4422
Mailing address
2335 E Saunders StSuite 2
Laredo, TX 78041-5434
Phone 956-791-4800 · Fax 956-791-4422
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