Organization
GREENLINE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOTAZ IBRAHIM MD (MEDICAL DIRECTOR)
(347) 207-3023
Entity
Organization
Contact information
Practice address
100 N CENTRAL EXPY STE 803, RICHARDSON, TX 75080-5325
(347) 207-3023
Mailing address
100 N CENTRAL EXPY STE 803, RICHARDSON, TX 75080-5325
(347) 207-3023
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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