Jasmin Santos Butler, PA-C
Physician Assistant, Surgical in Fort Sam Houston, TX. Individual provider (NPI-1).
NPI number1164481925
StatusActive
Last updated in NPPESJan 18, 2022
Details
- NPI
- 1164481925
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jasmin Santos Butler
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 21, 2006
- Certification date
- Jan 18, 2022
- Last updated
- Jan 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA06700 | TX | Yes |
Other names
- Jasmin Santos Furlough (Former Name)
Practice location
3551 Roger Brooke DrFort Sam Houston, TX 78234-4504
Phone 210-916-3216 · Fax 210-916-3758
Mailing address
3551 Roger Brooke DrFort Sam Houston, TX 78234-4504
Phone 210-539-9582
Other practice locations
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Jbsa Lackland, TX 78236-5638
Phone 210-835-6444
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