Individual
LEROY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5575 WARREN PKWY STE 115, FRISCO, TX 75034-4063
(972) 616-4000
(972) 591-6469
Mailing address
5575 WARREN PKWY STE 115, FRISCO, TX 75034-4063
(972) 616-4000
(972) 591-6469
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
DO2046
NV
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
R3481
TX
390200000X
Student in an Organized Health Care Education/Training Program
34
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528347234
—
NV
Enumeration date
08/11/2011
Last updated
09/08/2021
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