Individual
ANEEQA SHAMSHAD BUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4115 E LANCASTER AVE, FORT WORTH, TX 76103-3614
(817) 796-7370
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3456
(607) 547-6612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T1309
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/07/2018
Last updated
06/27/2023
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