Individual
ROGER G BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7808 CLODUS FIELDS DR, DALLAS, TX 75251-2206
(972) 566-7260
(972) 566-6237
Mailing address
7808 CLODUS FIELDS DR, DALLAS, TX 75251-2206
(972) 770-1032
(972) 770-1032
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
34096
TX
2084P0800X
Psychiatry Physician
Primary
G9839
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122603702
—
TX
05
—
122603705
—
TX
Enumeration date
11/16/2005
Last updated
02/10/2022
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