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NPI Code Detail

MEDICARE: CHERYL BUTLER MD PA

MEDICARE: CHERYL BUTLER MD PA
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
1207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1689855215
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHERYL BUTLER MD PA
Provider Business Mailing Address
First Line : 4010 N LAMAR BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78756-3714
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4010 N LAMAR BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78756-3714
Country : US
Telephone Number : 512-454-5000
Fax Number :
Authorized Official
Title or Position : OWNER/DOCTOR
Name : CHERYL BUTLER
Credential :
Telephone Number : 512-454-5000
Provider Enumeration Date : 11/26/2007
Last Update Date : 11/26/2007

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Directions to “CHERYL BUTLER MD PA ” Practice Location

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