Provider Demographics
NPI:1295204519
Name:BUTLER, BRIANA GILBREATH (MCN, RDN)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:GILBREATH
Last Name:BUTLER
Suffix:
Gender:F
Credentials:MCN, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2602 SHALY CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-7514
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2500 CITYWEST BLVD STE 150-135
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3000
Practice Address - Country:US
Practice Address - Phone:832-990-1371
Practice Address - Fax:832-307-1484
Is Sole Proprietor?:No
Enumeration Date:2018-11-15
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered