Individual
PAUL BUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP STE 210, SHREVEPORT, LA 71105-5634
(318) 798-4623
(318) 798-4644
Mailing address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
328847
LA
Other
Enumeration date
10/07/2021
Last updated
08/22/2025
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