Organization
WOMEN'S CLINIC OF DIMMIT AND ZAVALA P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHEAL ANTHONY BUTLER MD (ADMINISTRATOR)
(830) 876-9625
Entity
Organization
Contact information
Practice address
523 W ZAVALA ST, CRYSTAL CITY, TX 78839-2828
(830) 374-3118
(830) 876-5752
Mailing address
706 HOSPITAL DR, CARRIZO SPRINGS, TX 78834-3836
(830) 876-9625
(830) 876-5752
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00212R
MEDICARE GROUP #
—
05
—
157874202
—
TX
Enumeration date
01/04/2007
Last updated
05/13/2009
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