Provider Information

Last Updated : Apr 18 2025 11:05 AM

Luis G Bautista




City
Fresno
Group
INDEPENDENCE MEDICAL GROUP - TULARE COUNTY
Specialty
Family Practice
Last Name
Bautista
First Name
Luis
Middle Name
G
Address
2505 Merced St
State
CA
Zip Code
93721
Phone
(866)707-6664
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
M
Title
M.D.
Physician ID
136175
Language 1
Spanish
Extender 1 Last Name
Castro
Extender 1 First Name
Miguel
Extender 1 Middle Name
A
Extender 1 License Type
P.A.
Section Number
1
County
FRESNO
Accepting New Patient
Yes
PPG NAME
INDEPENDENCE MEDICAL GROUP - TULARE COUNTY
PPG ID
MTUH5
NPI Number
1295712206
License ID
A097270
Office Language
Spanish
Alternative Last Name
BAUTISTA
Alternative First Name
LUIS
PHY CCT IND
N

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