Individual
MACK BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
8430 BLUESTONE BAY, SAN ANTONIO, TX 78250-6302
(210) 237-6400
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
308283
TX
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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