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Individual
REGINA BUTUK
Active
Individual
REGINA BUTUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
715676
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558645333
NPI-HEARNE CHC
TX
01
—
1821185299
AGENCY NPI (BVCAA, INC.)
TX
01
—
2872434-01
TPI FOR PRACTICE LOCATION WITH BVCAA, INC.
TX
01
—
67-1974
MEDICARE NUMBER FOR HEARNE COMMUNITY HEALTH CENTER
TX
Enumeration date
02/10/2014
Last updated
03/31/2014
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