Individual
JEFFREY RONALD BUTERBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11675 JOLLYVILLE RD STE 207, AUSTIN, TX 78759-4105
(512) 856-1000
(512) 856-4040
Mailing address
11675 JOLLYVILLE RD STE 207, AUSTIN, TX 78759-4105
(512) 856-1000
(512) 856-4040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA14516
TX
363AS0400X
Surgical Physician Assistant
C0003804
MD
363AS0400X
Surgical Physician Assistant
Primary
PA14516
TX
Other
Enumeration date
08/12/2008
Last updated
05/22/2024
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