Individual
AMY L OFFUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 3RD ST, MARBLE FALLS, TX 78654-5720
(830) 693-7546
(830) 693-9194
Mailing address
707 3RD ST, MARBLE FALLS, TX 78654-5720
(830) 693-7546
(830) 693-9194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K6491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132081100
FIRSTCARE
TX
05
—
143203102
—
TX
05
—
143203103
—
TX
01
—
81392
SCOTT AND WHITE
TX
01
—
8398K0
BCBS
TX
Enumeration date
11/18/2005
Last updated
10/03/2011
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