Individual
CAROL O BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 GOLDEN AVE, BAY CITY, TX 77414-3122
(979) 245-2008
(979) 217-8829
Mailing address
101 AVENUE F, BAY CITY, TX 77414
(979) 245-2008
(979) 217-8829
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80119
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT80119
DIETICIAN
TX
Enumeration date
12/20/2022
Last updated
12/20/2022
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