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Jeffrey Boutte, LSA
NPI 1962639229 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3210 Rock Bluff Dr
Dallas, TX 75227 - Phone
- (214) 364-6769
Registry record
- Primary taxonomy
- Surgical Assistant
246ZC0007X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas