Provider Information
Last Updated : Nov 22 2024 3:48 PM
Luis G Bautista
City Fresno |
Group INDEPENDENCE MEDICAL GROUP - TULARE COUNTY |
Specialty Family Practice |
Last Name Bautista |
First Name Luis |
Middle Name G |
Address 3748 E. Shields Ave. |
State CA |
Zip Code 93726 |
Phone (866)707-6664 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender M |
Title M.D. |
Physician ID 136175 |
Language 1 Spanish |
Section Number 1 |
County FRESNO |
Accepting New Patient Yes |
PPG NAME INDEPENDENCE MEDICAL GROUP - TULARE COUNTY |
PPG ID MTUH5 |
NPI Number 1295712206 |
Access Requirement Limited |
INT_BUILD_IND IB |
License ID A097270 |
Board Certified Yes |
Office Language Spanish |
Self Access Flag Facility Site Database |
Alternative Last Name BAUTISTA |
Alternative First Name LUIS |
PHY CCT IND N |