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Richard Butorac, IDC — NPI 1669427290, Fort Worth, TX | NPI Central

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NPI 1669427290

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Richard Butorac, IDC

NPI 1669427290 · Independent Duty Corpsman · Fort Worth, TX

Provider details

NPI number: 1669427290
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Practice location

1711 Doolittle Ave

Fort Worth, TX 76179

Phone: (904) 588-2906

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

5113 Bayridge Ct

Fort Worth, TX 76179-4255

Registry dates

Enumerated: 2006-05-23
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.