MEDICARE: PATRICK BUTLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	S9113	TX
2	2084P0804X	Child & Adolescent Psychiatry Physician	S9113	TX

General Provider Information

NPI Number	:	1871026864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK BUTLER MD

Provider Business Mailing Address
First Line	:	13901 MIDWAY RD STE 102-473
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-4359
Country	:	US
Telephone Number	:	972-399-9208
Fax Number	:

Provider Business Practice Location Address
First Line	:	4300 COMMUNITY AVE
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-2535
Country	:	US
Telephone Number	:	972-399-9208
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2017
Last Update Date	:	07/09/2025

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Directions to “ PATRICK BUTLER MD” Practice Location

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