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VANESA BAUTISTA — OIG Excluded Provider (PIPE CREEK, TX, 1128a4)

VANESA BAUTISTA — OIG Excluded Provider (PIPE CREEK, TX, 1128a4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: VANESA BAUTISTA; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameVANESA BAUTISTA
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CityPIPE CREEK
StateTX
ZIP78063
Exclusion authority1128a4
Exclusion reasonFelony conviction relating to controlled substances
Exclusion date2024-01-18
SourceHHS-OIG LEIE

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