COSMETIC IMAGE LASER SOLUTION, LLC (NPI# 1760664650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760664650 |
| Entity Type | Organization |
| Organization Name | COSMETIC IMAGE LASER SOLUTION, LLC |
| Other Organization Name | CREATIVE IMAGE LASER SOLUTION |
| Practice Address |
3661 Hwy 377 South Brownwood TX 76801-5900 |
| Practice Telephone | 3256424014 |
| Mailing Telephone | 3256424014 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2008-11-18 |
| Authorized Official Name | DR. GARY N BUTKA (OWNER) |
| Authorized Official Telephone | 3256424014 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G6479 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TX MEDICAL LICENSE | G6479 | 01 |
| Other Name | Type Code |
|---|---|
| Creative Image Laser Solution | Doing Business As Name - Organization |
| Street Address |
3661 HWY 377 SOUTH |
| City | BROWNWOOD |
| State | TX |
| Zip Code | 76801-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902388374 | Jessica Moreno | Licensed Vocational Nurse | 1401 Indian Creek Dr, Brownwood, TX 76801 | 2018-09-03 |
| 1801314232 | Patrick M. Padgett | Hearing Instrument Specialist | 2510 Crockett Dr. Ste. A, Brownwood, TX 76801 | 2017-09-06 |
| 1376061911 | Alisandra Margaret Dirickson | Physician Assistant | 101 A South Park Drive, Brownwood, TX 76801 | 2017-09-05 |
| 1629441654 | Hennepin Dialysis LLC | Clinic/Center | 2511 Crockett Dr, Brownwood, TX 76801 | 2015-11-13 |
| 1164893889 | Shannon Lynn Young Delacruz | Nurse Practitioner | 302 E Commerce, Brownwood, TX 76801 | 2015-10-08 |
| 1295125821 | David George Curtis | General Practice | 611 Fm 3254, Brownwood, TX 76801 | 2015-02-04 |
| 1619371374 | Sanketkumar Parikh | Pharmacist | 200 West Commerce Street, 377 Villas, Brownwood, TX 76801 | 2014-10-09 |
| 1144621384 | Timothy Leon Taylor | Counselor | 408 Mulberry St., Brownwood, TX 76801 | 2014-09-08 |
| 1851667521 | Lee Healthcare Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 118 B Southpark Dr., Brownwood, TX 76801 | 2012-03-28 |
| 1619261302 | Ginger Rebecca Smith | Counselor | 408 Mulberry, Brownwood, TX 76801 | 2011-05-31 |
| Find all providers in zip 76801 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376014712 | Nigalye Medical Clinic, Pllc | Internal Medicine | 2502 Crockett Dr Ste A, Brownwood, TX 76801-5984 | 2018-12-11 |
| 1558518209 | Kiran Kumar Mangalpally | Internal Medicine | 125 S Park Dr Ste A, Brownwood, TX 76801-5952 | 2008-08-25 |
| 1265478408 | Lisa S. Fowler | Internal Medicine | 2510 Crockett Dr, Ste A, Brownwood, TX 76801-5928 | 2006-06-22 |
| 1871581272 | Gary N Butka | Internal Medicine | 2502 Crockett Dr, Brownwood, TX 76801-5900 | 2005-10-10 |
| 1093260143 | Brownwood Physician Associates, P.a. | Internal Medicine | 100 S Park Dr, Brownwood, TX 76801-5918 | 2016-08-18 |
| 1013393479 | Cardiosolution Physicians | Internal Medicine | 125 S Park Dr, Suite F, Brownwood, TX 76801-5952 | 2015-08-07 |
| 1750692117 | Hode Internal Medicine Pllc | Internal Medicine | 125 S Park Dr, Ste F, Brownwood, TX 76801-5952 | 2010-06-30 |
| 1811139371 | Amber Ervin | Internal Medicine | 109 S Park Dr, Brownwood, TX 76801-5917 | 2009-03-30 |
| 1780768143 | Christopher G. Stephens | Internal Medicine | 101 S Park Dr, B, Brownwood, TX 76801-5917 | 2006-10-24 |
| 1174552384 | Heart of Texas Internal Medicine Associates, P.a. | Internal Medicine | 109 S Park Dr, Brownwood, TX 76801-5917 | 2006-07-01 |
| Find all providers in BROWNWOOD | ||||
Please comment or provide details below to improve the information on COSMETIC IMAGE LASER SOLUTION, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.