Individual
CAROLYN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2400 NORTH I 35E, WAXAHACHIE, TX 75165
(469) 843-4000
Mailing address
5620 EVENING CT, MIDLOTHIAN, TX 76065-7702
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
430788
TX
Other
Enumeration date
06/12/2006
Last updated
06/23/2015
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