NPI 1164965968

Juan Alberto Bastida, LVN

Practitioner Licensed Practical Nurse Austin, TX

Practice location

Address: 1434 Sir Thopas Trl, Austin, TX 78748-3741
Phone: (512) 424-9282

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 332407 (TX)

Other Licensed Practical Nurse providers in Texas →

Registry record

NPI: 1164965968
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2016
Record last updated: 28 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.