Search › Oklahoma › 363A00000X
Ina Green, PAC
NPI 1467699025 · on the registry since 2009
Practice
- Address
- 4335 Se 15th St
Del City, OK 73115 - Phone
- (405) 600-9988
- Fax
- (405) 600-9989
- Organisation at this address
- Fastcare Medical Clinic Of Del City
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma