Healthcare Provider Details

I. General information

NPI: 1467364257
Provider Name (Legal Business Name): CATHERINE ELIZABETH BUTLER BS, RBT
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: SAM CLAIRMONT BS, RBT

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3041 WASHINGTON RD STE 100
MELISSA TX
75454
US

IV. Provider business mailing address

718 HIGHWAY 82 EAST PMB#213
SHERMAN TX
75090
US

V. Phone/Fax

Practice location:
  • Phone: 972-427-1990
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License NumberBACB2744481
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: