Individual
TINA M BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
500 E 4TH ST, ODESSA, TX 79761-5110
(432) 580-8686
(432) 582-2302
Mailing address
PO BOX 4232, ODESSA, TX 79760-4232
(432) 580-5891
(432) 582-2302
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02260
TX
Other
Enumeration date
10/05/2006
Last updated
07/09/2007
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