Individual
DR. GHAZALA R. BUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2411 FOUNTAIN VIEW DR, STE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, STE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J1205
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050064553
RAILROAD
TX
05
—
133643009
—
TX
05
—
133643010
—
TX
05
—
1816965
—
LA
01
—
85Y635
TX-BLUE SHIELD
—
Enumeration date
01/04/2007
Last updated
02/25/2010
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