=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700761517
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMAN DUA BUTT M.A.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/11/2025
-----------------------------------------------------
Last Update Date | 08/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8003 FOREST POINT DR
-----------------------------------------------------
City | HUMBLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77338-1894
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-446-1576
-----------------------------------------------------
Fax | 281-985-6010
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3815 KRISTIN LEE LN
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77014-2781
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 346-777-0833
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 124142
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------