Individual
CHARLES E. BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD., HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
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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