Organization
WOMEN'S CLINIC OF DIMMIT & 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
706 HOSPITAL DRIVE, CARRIZO SPRINGS, TX 78834-3836
(830) 876-9625
(830) 876-5752
Mailing address
706 HOSPITAL DRIVE, 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 NUMBER
TX
01
—
153539503
MEDICAID TXSTEPS
TX
05
—
157874201
—
TX
01
—
673856
MEDICARE PART A RURAL HEALTH
TX
01
—
8478M0
MEDICARE
TX
Enumeration date
06/18/2006
Last updated
03/05/2009
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