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Individual

JOHN GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1115 E MOORE AVE, TERRELL, TX 75160-3205
(214) 542-0000
Mailing address
1115 E MOORE AVE, TERRELL, TX 75160-3205
(214) 542-0000

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
PMR1569
TX
347C00000X
Private Vehicle
Primary
PMR1569
TX

Other

Enumeration date
03/27/2024
Last updated
05/02/2024
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