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Organization
GREENTREE HEALTH
Active
Organization
GREENTREE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHALIE BLACKSTOCK (DIRECTOR, BILLING)
(512) 323-6900
Entity
Organization
Contact information
Practice address
87 IH 10 N STE 100, BEAUMONT, TX 77707-2542
(409) 617-0151
(512) 524-2251
Mailing address
8900 SHOAL CREET BLVD BLDG 300, AUSTIN, TX 78757
(512) 323-6900
(512) 524-2251
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
04073
TX
207Q00000X
Family Medicine Physician
Primary
L8125
TX
Other
Enumeration date
01/21/2013
Last updated
01/23/2013
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