Organization
GIGGIG PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY KYLE BUTH OPA-C (BUSINESS MANAGER)
(817) 731-9400
Entity
Organization
Contact information
Practice address
6311 SOUTHWEST BLVD, BENBROOK, TX 76132-1063
(817) 731-9400
(817) 731-4282
Mailing address
6311 SOUTHWEST BLVD, BENBROOK, TX 76132-1063
(817) 731-9400
(817) 731-4282
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
K8811
TX
Other
Enumeration date
06/14/2007
Last updated
04/07/2008
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