Individual
TABOR RENEE BATUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 S PARK LN STE 300, ALTUS, OK 73521-5731
(580) 379-6180
(580) 379-6189
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6192
(580) 379-5000
(580) 379-5509
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5682
OK
363A00000X
Physician Assistant
PA4780
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201407480A
—
OK
Enumeration date
07/17/2023
Last updated
01/27/2026
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