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Individual
CHARLES E. BUTLER
Active
Individual
CHARLES E. BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
K9497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37460501
—
TX
01
—
88757X
BCBS
TX
01
—
990014926
RR MEDICARE
TX
Enumeration date
10/05/2006
Last updated
07/02/2012
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