Organization
BROWNWOOD SPECIALTY GROUP, PA
Active
Other names
Brownwood Specialty Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY N BUTKA M.D. (OWNER)
(325) 643-5521
Entity
Organization
Contact information
Practice address
2502 CROCKETT DR, BROWNWOOD, TX 76801-5900
(325) 643-5521
Mailing address
2502 CROCKETT DR, BROWNWOOD, TX 76801-5900
(325) 643-5521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H0955
TX
207Q00000X
Family Medicine Physician
L2503
TX
207Q00000X
Family Medicine Physician
L3615
TX
207R00000X
Internal Medicine Physician
K2249
TX
207RI0200X
Infectious Disease Physician
G6479
TX
208600000X
Surgery Physician
E1026
TX
208D00000X
General Practice Physician
D4147
TX
363L00000X
Nurse Practitioner
Primary
587449
TX
363L00000X
Nurse Practitioner
606438
TX
363L00000X
Nurse Practitioner
643131
TX
363L00000X
Nurse Practitioner
706322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079DJ
BLUE CROSS BLUE SHIELD
TX
05
—
081342003
—
TX
Enumeration date
06/12/2006
Last updated
05/15/2013
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