Provider Demographics
NPI:1922614783
Name:BEAUTEIGH BUTLERZ LLC
Entity Type:Organization
Organization Name:BEAUTEIGH BUTLERZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFARLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-237-0295
Mailing Address - Street 1:1907 PALMETTO GLEN LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6376
Mailing Address - Country:US
Mailing Address - Phone:346-237-0295
Mailing Address - Fax:
Practice Address - Street 1:5223 READING RD
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-5758
Practice Address - Country:US
Practice Address - Phone:832-449-3355
Practice Address - Fax:832-449-3365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center