IndividualActive
Andre Bautista, M.D.
NPI 1164665444 · Vascular & Interventional Radiology Physician · Tacoma, WA
Provider details
- NPI number
- 1164665444
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD60545139 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone: (253) 761-4200
Approximate (ZIP-level) locationGet directions
Mailing address
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Registry dates
- Enumerated
- 2009-04-15
- Last updated
- 2024-10-04
- Certified
- 2024-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.