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Individual

DR. JONATHAN BERNARD BUTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1401 MEDICAL PKWY BLDG B, SUITE 311, CEDAR PARK, TX 78613-7642
(512) 795-2009
(512) 241-3776
Mailing address
1401 MEDICAL PKWY STE 311, CEDAR PARK, TX 78613-5014
(512) 795-2009
(512) 241-3776

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F3801
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1311110-07
TX
01
319857YKR0
MEDICARE
TX
Enumeration date
09/20/2006
Last updated
09/23/2014
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