MR. JEFFREY BOUTTE LSA
NPI 1962639229
Specialist/Technologist, Other - Surgical Assistant in Dallas, TX

Q: What is Jeffrey Boutte's NPI number?

The NPI number for Jeffrey Boutte is 1962639229. It was assigned to this individual provider in the NPPES registry on June 14, 2009.

Q: What is Jeffrey Boutte's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Boutte was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 14, 2009

3210 ROCK BLUFF DR, DALLAS, TX 75227(214) 364-6769 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jeffrey Boutte Lsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFREY BOUTTE LSA (NPI 1962639229) is an individual surgical assistant in Dallas, Texas, licensed in Texas (SA00755) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1962639229

Entity TypeIndividualMale

Primary Taxonomy246ZC0007X

Provider Legal NameMR. JEFFREY BOUTTECredential: LSA

Location Address3210 ROCK BLUFF DRDallas, TX 75227-5649

Mailing Address3210 Rock Bluff DrDallas, TX 75227-5649 · (214) 364-6769

Phone(214) 364-6769

Sole ProprietorYes

Enumeration DateJune 14, 2009

Last NPPES UpdateAugust 26, 2019

✔ NPI 1962639229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed in TX · SA00755

Definition

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, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

3210 ROCK BLUFF DR, Dallas, TX 75227

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Boutte's NPI number?

The NPI number for Jeffrey Boutte is 1962639229. It was assigned to this individual provider in the NPPES registry on June 14, 2009.

Where is Jeffrey Boutte located?

Jeffrey Boutte practices at 3210 Rock Bluff Dr, Dallas, TX 75227. The listed phone number is (214) 364-6769.

What is Jeffrey Boutte's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Jeffrey Boutte was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.