Provider Demographics
NPI:1013691872
Name:THE ANESTHESIA BUTLER LLC
Entity Type:Organization
Organization Name:THE ANESTHESIA BUTLER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNA
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:469-233-3715
Mailing Address - Street 1:202 TIMBER LAKE WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-7219
Mailing Address - Country:US
Mailing Address - Phone:469-233-3753
Mailing Address - Fax:
Practice Address - Street 1:202 TIMBER LAKE WAY
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-7219
Practice Address - Country:US
Practice Address - Phone:469-233-3753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty