Provider Demographics
NPI:1811923923
Name:BUTTS, TURNER CLAY (DPM)
Entity type:Individual
Prefix:DR
First Name:TURNER
Middle Name:CLAY
Last Name:BUTTS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:17215 RED OAK DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2697
Mailing Address - Country:US
Mailing Address - Phone:281-444-4114
Mailing Address - Fax:281-444-7789
Practice Address - Street 1:17215 RED OAK DR
Practice Address - Street 2:SUITE 102
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2697
Practice Address - Country:US
Practice Address - Phone:281-444-4114
Practice Address - Fax:281-444-7789
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2009-10-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX1510213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150760001Medicaid
TX80205XOtherBCBS
TX8723K2Medicare PIN
TX150760001Medicaid
TX1313110001Medicare NSC