Organization
LAKEWOOD EMERGENCY ROOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK BUTLER (MD)
(469) 436-8100
Entity
Organization
Contact information
Practice address
6101 E MOCKINGBIRD LN, DALLAS, TX 75214-2602
(469) 372-1122
Mailing address
101 W RENNER RD STE 140, RICHARDSON, TX 75082-2028
(469) 436-8100
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2016
Last updated
10/31/2024
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