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Individual

RALPH GILLESPIE GREENLEE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
213 W CREEK ST, FREDERICKSBURG, TX 78624-3732
(214) 695-2727
Mailing address
110 N MILAM ST # 120, FREDERICKSBURG, TX 78624-3823
(830) 864-5227

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D5745
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039258101
TX
Enumeration date
10/16/2009
Last updated
10/16/2009
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