Butler, Jack M.

Butler, Jack M. is an individual health care provider with primary practice located at 1504 Taub Loop , Houston TX 77030-1608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Butler, Jack M. can be contacted via phone (713) 873-2000.

Contact Information

Primary practice address
1504 Taub Loop Houston TX 77030-1608
Phone: (713) 873-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L2828 Texas

Profile Details

NPI number 1962491035
LBN Legal business name Butler, Jack M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Dec 17th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962491035 NPPES
Texas MEDICAID 155777902
Texas MEDICAID 155777905
Texas MEDICAID 10651721
Texas Other 8U6943
Texas Other L2828
Texas Other P00334341

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