Provider Demographics
NPI:1821461799
Name:ADULT MEDICAL SOLUTIONS, PA
Entity Type:Organization
Organization Name:ADULT MEDICAL SOLUTIONS, PA
Other - Org Name:ADULT MEDICAL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:N
Authorized Official - Last Name:BUTKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:325-643-5521
Mailing Address - Street 1:PO BOX 2316
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76804-2316
Mailing Address - Country:US
Mailing Address - Phone:325-643-5521
Mailing Address - Fax:325-643-2647
Practice Address - Street 1:2410 CROCKETT DR
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5980
Practice Address - Country:US
Practice Address - Phone:325-643-5521
Practice Address - Fax:325-643-2647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6479207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty