Individual
DR. MICHAEL EDMUND OFFUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5430 FREDERICKSBURG RD STE 100, SAN ANTONIO, TX 78229-3539
(210) 340-1212
(210) 525-9617
Mailing address
5430 FREDERICKSBURG RD STE 100, SAN ANTONIO, TX 78229-3539
(210) 340-1212
(210) 525-9617
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL52607
SC
207W00000X
Ophthalmology Physician
036.159790
IL
207W00000X
Ophthalmology Physician
BP10067768
TX
207W00000X
Ophthalmology Physician
Primary
V0492
TX
Other
Enumeration date
06/11/2018
Last updated
09/09/2024
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