Organization
AB GENUINE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANASHA BUSH BUTLER FNP (OWNER OF ENTITY)
(409) 351-1507
Entity
Organization
Contact information
Practice address
324 N 14TH ST, NEDERLAND, TX 77627-4039
(409) 351-1507
Mailing address
7635 ERIE DR, NEDERLAND, TX 77627-5648
(409) 351-1507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/06/2020
Last updated
01/26/2023
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