P Praxis·MD
● Active Type 1 · Individual

MR. Jeffrey Boutte, LSA

Specialist/Technologist, Other·Dallas, TX· NPI 1962639229 · Enumerated 2009 · 16 years on NPI
Boutte is 1 of 51 specialist/technologist, other providers in Dallas and 1 of 1407 in Texas.
NPI age
16 years
Enumerated 2009-06-14
Primary specialty
Specialist/Technologist, Other
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-08-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1407 active specialist/technologist, other providers in Texas.

NPI age
16 years
↑ 7 yr above median (9 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
3210 Rock Bluff Dr
Dallas, TX 752275649
📞 2143646769
Mailing address
3210 Rock Bluff Dr
Dallas, TX 752275649
📞 2143646769

Specialties

  • Specialist/Technologist, Other Primary
    A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
    TX license #SA00755 taxonomy 246ZC0007X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 2 new specialist/technologist, other providers have been added in Dallas in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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