Individual
TERRY GREENUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1902 N ADAMS ST, BEEVILLE, TX 78102-2707
(361) 362-6000
Mailing address
PO BOX 4396, BEEVILLE, TX 78104-4396
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000060415
TX
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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