Jonathan William Buttram, MD | |
11937 Us Highway 271, Tyler, TX 75708-3154 | |
(903) 877-7000 | |
Not Available |
Full Name | Jonathan William Buttram |
---|---|
Gender | Male |
Speciality | Allergy/immunology |
Experience | 27 Years |
Location | 11937 Us Highway 271, Tyler, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497714984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 35076154 (Ohio) | Secondary |
207K00000X | Allergy & Immunology | 25905 (Alabama) | Secondary |
207K00000X | Allergy & Immunology | M3486 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The University Of Texas Health Science Center At Tyler | Tyler, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Texas Health Science Center At Tyler-facility-physician | 4981699220 | 95 |
Entity Name | University Of Texas Health Science Center At Tyler-facility-physician |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063400778 PECOS PAC ID: 4981699220 Enrollment ID: O20040416001048 |
Entity Name | Etmc Physician Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
Mailing Address | Practice Location Address |
---|---|
Jonathan William Buttram, MD Po Box 731912, Dallas, TX 75373-1912 Ph: (903) 939-7870 | Jonathan William Buttram, MD 11937 Us Highway 271, Tyler, TX 75708-3154 Ph: (903) 877-7000 |
Mark E Mccabe, Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1128 Medical Dr, Tyler, TX 75701 Phone: 903-593-8273 | |
Jack Richard Harris, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1128 Medical Dr, Tyler, TX 75701 Phone: 903-593-8273 Fax: 903-595-0204 | |
Luis A Destarac, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901 Fax: 903-595-2571 | |
Paul Cletus Sharkey Jr., MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3310 Patriot Dr, Tyler, TX 75701 Phone: 903-939-7870 |