| David T. Butler, M.d., P.a. | |
|
11940 Jollyville Rd Ste 115south Austin TX 78759-2327 | |
| (512) 258-5800 | |
| (512) 258-5310 |
| Full Name | David T. Butler, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 11940 Jollyville Rd Ste 115south, Austin, Texas |
| Authorized Official Name and Position | David Tanksley Butler (PRESIDENT/OWNER) |
| Authorized Official Contact | 5122585800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David T. Butler, M.d., P.a. 11940 Jollyville Rd Ste 115south Austin TX 78759-2327 Ph: (512) 258-5800 | David T. Butler, M.d., P.a. 11940 Jollyville Rd Ste 115south Austin TX 78759-2327 Ph: (512) 258-5800 |
| NPI Number | 1366638298 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 03/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366638298 | NPI | - | NPPES |
| 002244W | Other | TX | MEDICARE GROUP NUMBER |
| 45D1020456 | Other | TX | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K-4866 (Texas) | Primary |
Harold D Lewis Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 | |
Julie Graves Moy Md Mph Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8127 Mesa Dr, B206-54, Austin, TX 78759 Phone: 512-689-8001 | |
Edie E. Shulman M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11673 Jollyville Rd., Suite B-101, Austin, TX 78759 Phone: 512-339-1535 Fax: 512-339-1526 | |
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Texas Medclinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9900 S Ih 35, Austin, TX 78748 Phone: 512-291-5577 Fax: 512-291-5576 | |
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