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Tina Green

NPI 1528479797 · on the registry since 2014 · sole proprietor

Practice

Address
201 Highland Dr Apt 111
Taylor, TX 76574
Phone
(512) 584-1221
Fax
(512) 309-4432

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-05-09

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