| Jbutlermdphd Pllc | |
|
1333 Skiles St Dallas TX 75204-6108 | |
| (214) 980-4812 | |
| (214) 774-5824 |
| Full Name | Jbutlermdphd Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1333 Skiles St, Dallas, Texas |
| Authorized Official Name and Position | James E Butler (PHYSICIAN) |
| Authorized Official Contact | 2148028051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jbutlermdphd Pllc 1333 Skiles St Dallas TX 75204-6108 Ph: (214) 802-8051 | Jbutlermdphd Pllc 1333 Skiles St Dallas TX 75204-6108 Ph: (214) 980-4812 |
| NPI Number | 1942831110 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 4880006691 |
|---|---|
| Medicare Enrollment ID | O20201221001573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942831110 | NPI | - | NPPES |
| 1942831110 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | James E Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104118918 PECOS PAC ID: 5799067237 Enrollment ID: I20170118002409 |
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