ADDICTION MEDICINE CONSULTANTS OF TEXAS, PLLC (NPI# 1750657920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750657920 |
Entity Type | Organization |
Organization Name | ADDICTION MEDICINE CONSULTANTS OF TEXAS, PLLC |
Practice Address |
37131 Interstate 10 W Suite 101 Boerne TX 78006-8989 |
Practice Telephone | 5125778666 |
Practice Fax Number | 8302554660 |
Mailing Telephone | 5125778666 |
Enumeration Date | 2012-03-31 |
Last Update Date | 2014-10-07 |
Authorized Official Name | DR. JEFFREY L BUTTS (MEDICAL DIRECTOR) |
Authorized Official Telephone | 5124268343 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 672526 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
H7939 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | NPI | 1023287794 | 01 |
Street Address |
37131 INTERSTATE 10 W SUITE 101 |
City | BOERNE |
State | TX |
Zip Code | 78006-8989 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831246842 | Jeffrey L Butts | Family Medicine | 37131 Interstate 10 W, Suite 101, Boerne, TX 78006-8989 | 2007-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
Find all providers in zip 78006 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831246842 | Jeffrey L Butts | Family Medicine | 37131 Interstate 10 W, Suite 101, Boerne, TX 78006-8989 | 2007-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215586532 | Salvation' International Mission | Family Medicine | 1341 County Road 557, Farmersville, TX 75442-7081 | 2019-09-09 |
1598036642 | James Thomas Payte | Family Medicine | 260 Panther Xing, Wimberley, TX 78676-5767 | 2012-01-21 |
1255535829 | Karen Quintavell Radcliffe | Family Medicine | 201 Enterprise Avenue, Suite 800, League City, TX 77573 | 2007-06-14 |
1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
1942373816 | Texas Avenue Medical Clinic | Family Medicine | 1703 E 29th Street, Bryan, TX 77802 | 2006-11-16 |
1881783413 | Edward P Tyson | Family Medicine | 3811 Bee Caves Rd, Ste 200, Austin, TX 78746-6459 | 2006-10-12 |
1780693911 | Robert M. Leath | Family Medicine | 3033 North Gessner Drive, Suite 1106, Houston, TX 77080 | 2006-08-05 |
1639114176 | Samuel B. Ganz | Family Medicine | 13509 Camino De Plata Ct, Corpus Christi, TX 78418-6966 | 2006-06-18 |
1255329694 | Katherine H Thompson | Family Medicine | 6300 Richmond Ave, Houston, TX 77057 | 2005-10-10 |
1568460962 | Carroll Wayne Thornburg | Family Medicine | 725 S Mesa Hills Dr, Suite 1, Bldg. 1, El Paso, TX 79912-5568 | 2005-07-08 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.