Individual
MICHELLE O. BUTAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
119204
TX
363LA2200X
Adult Health Nurse Practitioner
787818
TX
363LA2200X
Adult Health Nurse Practitioner
RN081938
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1887765
—
LA
05
—
216806401
—
TX
Enumeration date
06/12/2009
Last updated
12/07/2017
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