Individual
DR. EDWARD BRIAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 FANNIN ST, SUITE AX121B, HOUSTON, TX 77030-2703
(713) 441-4800
(713) 793-1300
Mailing address
6565 FANNIN ST, SUITE AX121B, HOUSTON, TX 77030-2703
(713) 441-4800
(713) 793-1300
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
H5851
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134714802
—
TX
05
—
134714803
—
TX
05
—
134714808
—
TX
05
—
134714808
—
WY
05
—
134714809
—
TX
01
—
134714810
MEDICAID CSHCN
TX
01
—
8BC022
BLUE CROSS BLUE SHIELD
TX
01
—
920002585
RR MEDICARE
TX
01
—
P00662607
MEDICARE RAILROAD
TX
Enumeration date
08/22/2005
Last updated
06/26/2016
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