Michael Bouton MD PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G9329 Issued in TX

Legal business name

MICHAEL BOUTON MD PLLC

Doing business as

Surgical Group of Memorial City

Practice address

902 Frostwood Dr
Suite 166
Houston, TX 77024-2420

Phone

(832) 481-1041

NPI assigned

May 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael S Bouton, M.D.

Title

President

Phone

(832) 481-1041

Specialties & licenses 1

Addresses

Other names 1

• Surgical Group of Memorial City Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angelica M. Gonzalez, O. D.

  • Optometrist
  • Kingsville, TX
  • NPI 1699758615
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336350388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR",
            "address_2": "SUITE 166",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242420",
            "telephone_number": "832-481-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR",
            "address_2": "SUITE 166",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242420",
            "telephone_number": "832-481-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BOUTON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOUTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-481-1041",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "G9329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Group of Memorial City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael a. Charles, DDS, PA
• Michael a. Monmouth M.D., P.a.
• Michael a. Wong, D.D.S., P.C.
• Michael Alan Schlak
• Michael Boktour DDS PLLC
• Michael C. Walther Jr. D.C. (Copperfield Family Chiropractic)
• Michael Ciaravino, MD PA
• Michael Craig McInroe MD
• Michael D Lesem, MD, PA
• Michael Debakey Medical Center

• Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.