# GREENTREE HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932447935
- **Authorized official:** NATHALIE BLACKSTOCK (DIRECTOR, BILLING)
- **Authorized official phone:** (512) 323-6900

## Contact information

- **Practice address:** 5601 BRIDGE ST STE 550, FORT WORTH, TX 76112-9502
- **Practice address phone:** (512) 323-6900
- **Practice address fax:** (512) 524-2251
- **Mailing address:** 8900 SHOAL CREEK BLVD STE 300, AUSTIN, TX 78757-6853
- **Mailing address phone:** (512) 323-6900
- **Mailing address fax:** (512) 524-2251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 08124 | TX | — |
| 207Q00000X | Family Medicine Physician | G6955 | TX | Yes |

## Other

- **Enumeration date:** 01/25/2013
- **Last updated:** 01/25/2013