Individual
MR. JACOB ISRAEL BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1900 DENVER AVE, EL PASO, TX 79902
(915) 544-3500
(915) 544-3503
Mailing address
4849 N MESA ST STE 201, EL PASO, TX 79912-5919
(915) 351-6600
(915) 351-6601
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
AP126350
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP126350
TX
Other
Enumeration date
11/04/2014
Last updated
02/12/2026
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