| James R. Green D.d.s,pa | |
|
2200 Kell Blvd Wichita Falls TX 76309-4401 | |
| (940) 322-2252 | |
| (940) 322-7090 |
| Full Name | James R. Green D.d.s,pa |
|---|---|
| Speciality | Dentist |
| Location | 2200 Kell Blvd, Wichita Falls, Texas |
| Authorized Official Name and Position | James R Green (OWNER) |
| Authorized Official Contact | 9403222252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James R. Green D.d.s,pa 2200 Kell Blvd Wichita Falls TX 76309-4401 Ph: (940) 322-2252 | James R. Green D.d.s,pa 2200 Kell Blvd Wichita Falls TX 76309-4401 Ph: (940) 322-2252 |
| NPI Number | 1972911444 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 08/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972911444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | TX16192 (Texas) | Primary |
| 122300000X | Dentist | TX10742 (Texas) | Secondary |
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