Individual
ROGER G BUTLER
Active
Individual
ROGER G BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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