Provider Demographics
NPI:1235422346
Name:GURDIP BUTTAR M D-P A
Entity Type:Organization
Organization Name:GURDIP BUTTAR M D-P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GURDIP
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BUTTAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-868-7100
Mailing Address - Street 1:12718 TIMBERLAND TRCE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3343
Mailing Address - Country:US
Mailing Address - Phone:832-868-7100
Mailing Address - Fax:713-272-9204
Practice Address - Street 1:6006 BELLAIRE BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5404
Practice Address - Country:US
Practice Address - Phone:832-868-7100
Practice Address - Fax:713-272-9204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-23
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty