Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | DOO75 | TX |
NPI | 1003813429 |
---|---|
Provider Name | Dr. James Elmer Butler III |
First Address | Houston, TX 77018-6004 |
Second Address | Houston, TX 77018-6004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2005 |
Last Update Date | 21/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C14020 | (02) |