Dr Beverly Diann Butler, APRN, DNP, FNP-C | |
5604 Old Bullard Rd Ste 107, Tyler, TX 75703-4359 | |
(903) 630-2197 | |
(903) 630-2198 |
Full Name | Dr Beverly Diann Butler |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5604 Old Bullard Rd Ste 107, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891354494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | AP142397 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP142397 (Texas) | Primary |
Entity Name | Butler Family Practice Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447807136 PECOS PAC ID: 2264763804 Enrollment ID: O20191011000602 |
Mailing Address | Practice Location Address |
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Dr Beverly Diann Butler, APRN, DNP, FNP-C 5604 Old Bullard Rd Ste 107, Tyler, TX 75703-4359 Ph: (903) 630-2197 | Dr Beverly Diann Butler, APRN, DNP, FNP-C 5604 Old Bullard Rd Ste 107, Tyler, TX 75703-4359 Ph: (903) 630-2197 |
Brandi Dunford, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 330, Tyler, TX 75702 Phone: 903-606-7995 | |
Jacob G Thoele, AGACNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702 Phone: 903-606-8718 Fax: 903-606-1218 | |
Abram Ambriz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715 | |
Anna Elise Fenton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6210 S Broadway Ave, Tyler, TX 75703 Phone: 903-579-2700 Fax: 903-579-2799 | |
Mary Anne Fitzgerald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N Broadway Ave, Tyler, TX 75702 Phone: 903-535-0023 Fax: 903-535-0052 | |
Rendall Northcutt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7200 Fax: 903-877-5080 | |
Kinsey Henry, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Beckham Ave, Tyler, TX 75701 Phone: 903-630-6211 |