Jackson-Butler, Mahalia L

Jackson-Butler, Mahalia L is an sole proprietor health care provider with primary practice located at 2721 Central Dr , Bedford TX 76021-4810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Jackson-Butler, Mahalia L can be contacted via phone (214) 277-2243.

Contact Information

Primary practice address
2721 Central Dr Bedford TX 76021-4810
Phone: (214) 277-2243
Fax: (214) 231-2926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 715590 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP117597 Texas

Profile Details

NPI number 1063669893
LBN Legal business name Jackson-Butler, Mahalia L
Credentials DNP, APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2008
Last updated Jun 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063669893 NPPES
Texas MEDICAID 201844201

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