Individual
MARY A BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
755 N 11TH ST, STE P2280, BEAUMONT, TX 77702-1525
(409) 892-4600
(409) 892-4605
Mailing address
755 N 11TH ST, STE P2280, BEAUMONT, TX 77702-1525
(409) 892-4600
(409) 892-4605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
694060
TX
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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