Individual
SHANNON GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. EEG T., CLTM
Contact information
Practice address
1819 JAY ELL DR, RICHARDSON, TX 75081-2063
(888) 344-2947
Mailing address
11206 UNIVERSITY AVE APT 204, LUBBOCK, TX 79423-6194
(612) 570-4675
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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