Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 96108 | TX |
N | 176B00000X | Midwife | 96393R | NM |
NPI | 1053577791 |
---|---|
Provider Name | Alyson Kuntz-Butler |
First Address | El Paso, TX 79902-5615 |
Second Address | El Paso, TX 79902-5615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2008 |
Last Update Date | 01/08/2008 |