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Individual

DR. BROOKE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
18818 MEISNER DR STE 107, SAN ANTONIO, TX 78258-3569
(800) 404-6050
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(210) 477-7654
(210) 468-0682

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13362
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13362
TEXAS BOARD OF CHIROPRACTIC EXAMINERS
TX
Enumeration date
12/27/2016
Last updated
11/22/2019
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