Individual
MS. MINDY GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MS
Contact information
Practice address
4500 SOUTH LANCASTER ROAD, GI LAB, 111B1, DALLAS, TX 75216-0000
(214) 857-4160
(214) 462-4512
Mailing address
4500 S LANCASTER RD, GI LAB, 111B1, DALLAS, TX 75216-7167
(214) 857-4160
(214) 462-4512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA03067
TX
363AM0700X
Medical Physician Assistant
Primary
PA03067
TX
Other
Enumeration date
11/10/2005
Last updated
03/12/2013
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