Individual
MR. MANDELL JOSEPH BUTLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5959 HARRY HINES BLVD., DALLAS, TX 75390-9087
(214) 645-8600
(214) 645-8631
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(469) 291-2841
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP131614
TX
363LF0000X
Family Nurse Practitioner
08612
LA
363LF0000X
Family Nurse Practitioner
AP131614
TX
Other
Enumeration date
01/21/2016
Last updated
03/29/2018
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