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Organization

JONATHAN B BUTEN MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN B BUTEN MD (PRESIDENT)
(512) 795-2009
Entity
Organization

Contact information

Practice address
1401 MEDICAL PKWY # B, SUITE 311, CEDAR PARK, TX 78613-7642
(512) 795-2009
(512) 241-3776
Mailing address
PO BOX 268866, OKLAHOMA CITY, OK 73126-8866
(512) 795-2009
(512) 241-3776

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1959512-01
TX
Enumeration date
04/18/2008
Last updated
06/21/2018
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