| Adam S. Butera Md Pa | |
|
1714 10th St Wichita Falls TX 76301-5011 | |
| (940) 766-4482 | |
| (940) 766-4487 |
| Full Name | Adam S. Butera Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1714 10th St, Wichita Falls, Texas |
| Authorized Official Name and Position | Adam S Butera (OWNER) |
| Authorized Official Contact | 9407664482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adam S. Butera Md Pa 1714 10th St Wichita Falls TX 76301-5011 Ph: (940) 766-4482 | Adam S. Butera Md Pa 1714 10th St Wichita Falls TX 76301-5011 Ph: (940) 766-4482 |
| NPI Number | 1992865992 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 03/10/2014 |
| Medicare PECOS PAC ID | 6507961000 |
|---|---|
| Medicare Enrollment ID | O20090218000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992865992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Adam S Butera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376505545 PECOS PAC ID: 0042315541 Enrollment ID: I20070411000384 |
| Provider Name | Patricia A Dehaas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558423905 PECOS PAC ID: 3870740244 Enrollment ID: I20120821000309 |
| Provider Name | Kimberly A Havins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659596450 PECOS PAC ID: 5294031407 Enrollment ID: I20160315001639 |
| Provider Name | Stephanie Stockton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104458108 PECOS PAC ID: 2163859463 Enrollment ID: I20200226002306 |
| Provider Name | Gifty Acheampong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356989339 PECOS PAC ID: 8325461486 Enrollment ID: I20200708000268 |
| Provider Name | Lizette Ebot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508448739 PECOS PAC ID: 8527466168 Enrollment ID: I20211012000920 |
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