Individual
JOHN ADAM GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 E RIDGE RD STE 204, MCALLEN, TX 78503-1251
(956) 632-6020
Mailing address
13037 SW 95TH AVE, MIAMI, FL 33176-5728
(321) 720-4658
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9462851
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
11026464
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11026464
FL
367500000X
Certified Registered Nurse Anesthetist
1129335
TX
Other
Enumeration date
05/12/2021
Last updated
01/15/2025
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