Weldon F Butler Md Pa | |
700 Dotsy Ave Odessa TX 79763-4238 | |
(432) 333-3295 | |
(432) 333-8840 |
Full Name | Weldon F Butler Md Pa |
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Speciality | General Practice |
Location | 700 Dotsy Ave, Odessa, Texas |
Authorized Official Name and Position | Weldon F Butler (OWNER) |
Authorized Official Contact | 4323333295 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Weldon F Butler Md Pa 700 Dotsy Ave Odessa TX 79763-4238 Ph: (432) 333-3295 | Weldon F Butler Md Pa 700 Dotsy Ave Odessa TX 79763-4238 Ph: (432) 333-3295 |
NPI Number | 1699941765 |
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Provider Enumeration Date | 05/07/2008 |
Last Update Date | 10/28/2008 |
Medicare PECOS PAC ID | 6103987052 |
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Medicare Enrollment ID | O20081210000356 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699941765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Weldon F Butler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417941873 PECOS PAC ID: 7214098300 Enrollment ID: I20081208000465 |
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