Individual
JONATHAN WILLIAM BUTTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E 5TH ST STE 200, TYLER, TX 75701-3313
(903) 747-9600
(903) 747-9601
Mailing address
1000 E 5TH ST STE 200, TYLER, TX 75701-3313
(903) 747-9600
(903) 747-9601
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
25905
AL
207K00000X
Allergy & Immunology Physician
35076154
OH
207K00000X
Allergy & Immunology Physician
Primary
M3486
TX
Other
Enumeration date
03/22/2006
Last updated
02/24/2026
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