Organization
SOUL BUTTERFLY HEALTHCARE, PLLC
Active
Other names
Soul Butterfly Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE JUPITER DPM (CEO)
(281) 905-5586
Entity
Organization
Contact information
Practice address
810 HIGHWAY 6 S STE 203, HOUSTON, TX 77079-4022
(281) 905-5586
(504) 335-0754
Mailing address
531 CRESTWATER CT, HOUSTON, TX 77082-1517
(281) 905-5586
(504) 335-0754
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
251E00000X
Home Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
332U00000X
Home Delivered Meals
—
—
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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