Robert Butler, MLT
Individual provider Active NPI Medical Laboratory Technician · Converse, TX
NPI 1114730199 · NPPES record last updated Jan 31, 2025
Key facts
- NPI
- 1114730199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Laboratory Technician 246RM2200X
- License
- 25438422 (OK)
- Practice address
- 9114 Hogarten Park
Converse, TX 78109-2804 - Phone
- (210) 792-1839
- NPI assigned
- Jan 31, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25438422 | OK | MD | Medical Laboratory Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Laboratory Technician | 246RM2200X | 25438422 | OK | Yes |
Addresses
Primary practice location
9114 Hogarten Park
Converse, TX 78109-2804
Mailing address
9114 Hogarten Park
Converse, TX 78109-2804
Phone (210) 792-1839
Other providers in Converse, TX
- Christa Brantley
- Ryan Noble Broderick
- Chela Lacinda Brown
- Deborah H. Brown
- Derrick Troy Burnett
- John Byrne
- Ji-Hyun Byun
- Byxa
- Byxa
- Courtney Kristianna Cady
All providers in Converse, TX · Medical Laboratory Technician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.