Individual
DAVID BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2900 S LOOP 256, PALESTINE, TX 75801-6958
(903) 723-2465
(903) 677-5586
Mailing address
PO BOX 1988, PALESTINE, TX 75802-1988
(903) 723-2465
(903) 677-5586
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
571254
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60504663
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024689-02
—
TX
Enumeration date
11/14/2005
Last updated
07/08/2020
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