Provider Demographics
NPI:1164834479
Name:BUTERBAUGH, ABIGAIL MARIE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:MARIE
Last Name:BUTERBAUGH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 FAIRFIELD LN
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-1830
Mailing Address - Country:US
Mailing Address - Phone:918-691-1572
Mailing Address - Fax:
Practice Address - Street 1:407 KENT ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-5858
Practice Address - Country:US
Practice Address - Phone:432-687-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA11228363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant