NPI 1881373983 · live from the CMS NPI Registry
Tabor Renee Batug, PA-C
Physician Assistant in Altus, OK. National Provider Identifier 1881373983, active.
NPI record
| NPI | 1881373983 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 101 S Park Ln Ste 300, Altus, OK 73521 |
| Practice phone | 580-379-6180 |
| Mailing address | 1200 E Pecan St, Altus, OK 73521 |
| Enumerated | July 17, 2023 |
| Last updated | January 27, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA4780 (SC) |
| Physician Assistant primary | 363A00000X | 5682 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.