NPIMap

Organization Active NPI

Addiction Medicine Consultants of Texas, PLLC

  • Addiction Medicine (Family Medicine) Physician
  • Boerne, TX
National Provider Identifier
1750657920
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
H7939 Issued in TX
Legal business name
ADDICTION MEDICINE CONSULTANTS OF TEXAS, PLLC
Practice address
37131 Interstate 10 W
Suite 101
Boerne, TX 78006-8989
Phone
(512) 577-8666
Fax
(830) 255-4660
NPI assigned
Mar 31, 2012
Last updated
Oct 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Dr. Jeffrey L Butts, DONPI 1831246842
Title
Medical Director
Phone
(512) 426-8343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 672526 TX
Addiction Medicine (Family Medicine) Physician 207QA0401X H7939 TX Primary

Addresses

Primary practice location

37131 Interstate 10 W
Suite 101
Boerne, TX 78006-8989

Mailing address

37131 Interstate 10 W
Suite 101
Boerne, TX 78006-8989
Phone (512) 577-8666

Other identifiers 1

IdentifierTypeStateIssuer
1023287794OtherTXNPI

National Provider Directory

National Provider Directory

Locations

37131 Interstate 10 W
#101
Boerne, TX 78006
Phone (830) 249-8400

37131 Interstate 10 W
Ste 101
Boerne, TX 78006
Phone (817) 472-9369

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1333152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1750657920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37131 INTERSTATE 10 W",
            "address_2": "SUITE 101",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068989",
            "telephone_number": "512-577-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37131 INTERSTATE 10 W",
            "address_2": "SUITE 101",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068989",
            "telephone_number": "512-577-8666",
            "fax_number": "830-255-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION MEDICINE CONSULTANTS OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-31",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-426-8343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "672526",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TX",
            "license": "H7939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023287794",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.