Jeffrey Boutte, LSA

Surgical Assistant · Dallas, TX

Individual Active NPI

NPI number 1962639229

Practice location

3210 Rock Bluff Dr
Dallas, TX 75227-5649
Phone
(214) 364-6769

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NPI record

NPI
1962639229
Entity type
Individual (Type 1)
Enumeration date
June 14, 2009
Last updated
August 26, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgical Assistant Primary 246ZC0007X SA00755 TX

About Jeffrey Boutte

Jeffrey Boutte, LSA is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Assistant (code 246ZC0007X). The practice location is 3210 Rock Bluff Dr, Dallas, TX 75227-5649. The NPI number 1962639229 was assigned on June 14, 2009 and the record was last updated on August 26, 2019.

Jeffrey Boutte lists a license in the registry: #SA00755 (TX) for Surgical Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeffrey Boutte, LSA?

The NPI number is 1962639229.

What is the phone number of Jeffrey Boutte?

The phone number listed for the practice location is (214) 364-6769.

Where is Jeffrey Boutte located?

3210 Rock Bluff Dr, Dallas, TX 75227-5649.

What is the taxonomy code for Jeffrey Boutte?

The primary taxonomy code is 246ZC0007X – Surgical Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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