Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeffrey Boutte, LSA

Individual provider Surgical Assistant · NPI 1962639229

Mr. Jeffrey Boutte, LSA is a Surgical Assistant in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2009

Practice location Address checks out

3210 Rock Bluff Dr
Dallas, TX 75227-5649
Phone: (214) 364-6769
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00755 (TX)

Record details

NPI number1962639229
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorYes
NPI enumeratedJune 14, 2009
Last updated in NPPESAugust 26, 2019
Mailing address3210 Rock Bluff Dr, Dallas, TX 75227-5649

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