Individual
DR. NICKOLAS BOUTRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21216 NORTHWEST FWY STE 620, CYPRESS, TX 77429-4699
(281) 807-4380
(833) 521-2189
Mailing address
4700 SETON CENTER PKWY STE 115, AUSTIN, TX 78759-5753
(281) 807-4380
(833) 521-2189
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
S1054
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
S1054
TX
390200000X
Student in an Organized Health Care Education/Training Program
292570
NY
Other
Enumeration date
04/22/2013
Last updated
03/11/2026
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