TINA M BUTLER P.A-C NPI 1154417202

NPI Information

NPI: 1154417202
Provider Name: TINA M BUTLER, P.A-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
500 E 4TH ST
ODESSA, TX
ZIP 79761
Phone: (432) 580-8686
Get Directions

Tina M Butler, P.A-C is a medical physician assistant in Odessa, TX. Tina M Butler, P.A-C NPI is 1154417202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 E 4TH ST
ODESSA, TX
ZIP 79761-110
Phone: (432) 580-8686
Fax: (432) 582-2302

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA02260	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	85N121	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MEDICARE PROVIDER NUMBER
2	S89032	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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