Kathleen Victoria Butler, MD | |
205 E University Ave, Suite 200, Georgetown, TX 78626-6821 | |
(512) 868-1124 | |
(512) 868-9894 |
Full Name | Kathleen Victoria Butler |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 205 E University Ave, Georgetown, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962490870 | NPI | - | NPPES |
143093605 | Medicaid | TX | |
119934 | Other | TX | SUPERIOR |
8X1635 | Other | TX | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L1537 (Texas) | Primary |
Entity Name | Lone Star Circle Of Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891746970 PECOS PAC ID: 5193709392 Enrollment ID: O20040622000184 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Victoria Butler, MD 205 E University Ave, Suite 200, Georgetown, TX 78626-6821 Ph: (512) 868-1124 | Kathleen Victoria Butler, MD 205 E University Ave, Suite 200, Georgetown, TX 78626-6821 Ph: (512) 868-1124 |
Holly C Helms, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1004 S Rock St, Georgetown, TX 78626 Phone: 512-374-1876 Fax: 512-371-8788 | |
Mr. Leroy T Soto, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3721 Williams Dr, Georgetown, TX 78628 Phone: 512-869-7310 Fax: 512-869-5616 | |
Chrishanthi Perera, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2423 Williams Dr Ste 105, Georgetown, TX 78628 Phone: 877-800-5722 Fax: 128-647-2385 | |
Dr. Doris Eileen Hossalla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1524 Leander Rd, Georgetown, TX 78628 Phone: 512-863-7586 Fax: 512-863-5222 | |
Dr. Dana Lee Simmang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2000 Scenic Dr, Georgetown, TX 78626 Phone: 512-943-3000 | |
Lisa Suzanne Flachs, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 High Tech Dr, Georgetown, TX 78626 Phone: 512-930-4776 Fax: 512-863-4248 | |
Alyna Ysela Garza, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4841 Williams Dr Ste 105, Georgetown, TX 78633 Phone: 512-730-3957 Fax: 512-328-2055 |