Individual provider · Type 1 NPI
Jasmin Santos Butler, PA-C
Surgical Physician Assistant · Fort Sam Houston, TX
NPI number
1164481925
Active
Practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Fax (210) 916-3758
Other practice locations
- 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 · (210) 835-6444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA06700 (TX) |
Surgical Physician Assistant: Definition to come...
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About NPI 1164481925
Jasmin Santos Butler, PA-C's National Provider Identifier is 1164481925, issued on Mar 21, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jan 18, 2022.