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Mr. Mike Earl Butaud, OPTICIAN
Optician in Jasper, Texas
NPI 1154599736

Mike Earl Butaud is a Optician based in Jasper, TX and is specialized in Optician. Mike Earl Butaud practices in Jasper, TX and has the professional credentials of OPTICIAN. The NPI Number for Mike Earl Butaud is 1154599736 and holds a License No. (Texas).

The current practice location address for Mike Earl Butaud is 128 N Austin Street, Jasper, TX and can be reached out via phone at 409-383-1120.

Location: 128 N Austin Street, Jasper, TX, 75951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154599736
Provider Name
Mike Earl Butaud
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
128 N Austin Street, Jasper, TX, 75951
Phone Number
409-383-1120
Fax Number
Provider Enumeration Date
02/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
128 N Austin Street
City
Jasper
State
Texas
Zip
75951
Phone Number
409-383-1120
Fax Number
person
Provider Business Mailing Address Details
Address
128 N Austin Street
City
Jasper
State
Texas
Zip
75951
Phone Number
409-383-1120
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
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