SearchTexas207PS0010X

Jerry Greeson, MED, LAT, ATC

NPI 1831799238 · on the registry since 2020 · sole proprietor

Practice

Address
2239 Walker Ave Bldg 5570
Jbsa Lackland, TX 78236
Phone
(210) 365-8316

Registry record

Primary taxonomy
207PS0010X
207PS0010X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-27

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