Provider Demographics
NPI:1841337292
Name:BUTLER, CHRIS (LAC)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:BUTLER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 BEE CAVE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5391
Mailing Address - Country:US
Mailing Address - Phone:512-327-2884
Mailing Address - Fax:512-410-2322
Practice Address - Street 1:3530 BEE CAVE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5391
Practice Address - Country:US
Practice Address - Phone:512-327-2884
Practice Address - Fax:512-410-2322
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00222171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist