Provider Demographics
NPI:1205965969
Name:AMY L. OFFUTT, M.D., P.A.
Entity type:Organization
Organization Name:AMY L. OFFUTT, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:OFFUTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-693-7546
Mailing Address - Street 1:707 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-5720
Mailing Address - Country:US
Mailing Address - Phone:830-693-7546
Mailing Address - Fax:830-693-9194
Practice Address - Street 1:707 3RD ST
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-5720
Practice Address - Country:US
Practice Address - Phone:830-693-7546
Practice Address - Fax:830-693-9194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty