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Connie Green
NPI 1790462786 · on the registry since 2023
Practice
- Address
- 230 S Nolen Dr Bldg 3
Southlake, TX 76092 - Phone
- (817) 402-8250
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-30
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