MEDICARE: LIND BUTLER MED

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	101YP2500X	Professional Counselor	11187	TX
2	106H00000X	Marriage & Family Therapist	2856	TX

General Provider Information

NPI Number	:	1124390539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIND BUTLER MED

Provider Business Mailing Address
First Line	:	3131 EASTSIDE ST
Second Line	:	SUITE 435
City	:	HOUSTON
State	:	TX
Zip	:	77098-1935
Country	:	US
Telephone Number	:	713-522-9323
Fax Number	:	713-520-8083

Provider Business Practice Location Address
First Line	:	3131 EASTSIDE ST
Second Line	:	SUITE 435
City	:	HOUSTON
State	:	TX
Zip	:	77098-1935
Country	:	US
Telephone Number	:	713-522-9323
Fax Number	:	713-520-8083

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

Provider Enumeration Date	:	01/31/2012
Last Update Date	:	01/31/2012

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Directions to “ LIND BUTLER MED” Practice Location

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