Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | Q5161 | TX |
NPI | 1104118918 |
---|---|
Provider Name | Dr. James E Butler |
First Address | Dallas, TX 75204-6108 |
Second Address | Waco, TX 76712-6986 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2011 |
Last Update Date | 28/01/2020 |