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NPI Code Detail

MEDICARE: JASON R BUTTLES M.D.

MEDICARE: JASON R BUTTLES M.D.
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
1208000000XPediatrics PhysicianM7076TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28V0289OTHERTXBCBS
30073PTOTHERTXBCBS
48AA311OTHERTXBCBS

General Provider Information

NPI Number : 1417991126
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON R BUTTLES M.D.
Provider Business Mailing Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number : 214-456-9250
Fax Number :
Provider Business Practice Location Address
First Line : 7601 PRESTON RD
Second Line :
City : PLANO
State : TX
Zip : 75024-3214
Country : US
Telephone Number : 469-303-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 12/16/2025

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Directions to “ JASON R BUTTLES M.D.” Practice Location

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