SearchTexas103TC0700X

Bradley Green, PHD

NPI 1518780923 · on the registry since 2024 · sole proprietor

Practice

Address
618 Wellington St
Tyler, TX 75703
Phone
(601) 297-6591

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-04

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 Texas