# AMY L OFFUTT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891777314
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | K6491 | TX | Yes |

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 10/03/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 132081100 | FIRSTCARE | TX |
| 05 | — | 143203102 | — | TX |
| 05 | — | 143203103 | — | TX |
| 01 | — | 81392 | SCOTT AND WHITE | TX |
| 01 | — | 8398K0 | BCBS | TX |