Individual
ALEXANDRA C GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-1501
Mailing address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(903) 408-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
W2068
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
08/11/2026
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