Individual
MR. RODNEY KYLE BUTH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPA-C
Contact information
Practice address
6311 SOUTHWEST BLVD, BENBROOK, TX 76132-1063
(817) 731-9400
(817) 731-4282
Mailing address
7720 MARBLE CANYON DR, FORT WORTH, TX 76137-4156
(817) 919-9671
(817) 731-4282
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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