Individual
MR. DAVID LYNN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1502 E 17TH ST, SWEETWATER, TX 79556-1734
(325) 235-4457
(325) 235-0170
Mailing address
4100 INTERNATIONAL PLAZA, SUITE 600, FORT WORTH, TX 76109
(817) 334-0530
(817) 877-0350
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
231635
TX
Other
Enumeration date
08/31/2006
Last updated
08/10/2011
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