Individual
MR. MARVIN J. BUTTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13737 NOEL ROAD, SUITE 1400, DALLAS, TX 75240-2004
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5007
(972) 715-5682
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
532848
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003396104
—
TX
05
—
003396105
—
TX
01
—
84464U
BCBS
TX
01
—
P00180656
RAILROAD
TX
Enumeration date
03/02/2006
Last updated
05/21/2014
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