Organization
GREENE MONITORING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER)
(210) 598-2800
Entity
Organization
Contact information
Practice address
1341 W MOCKINGBIRD LN STE 600, DALLAS, TX 75247-6913
(469) 283-0552
Mailing address
381 CASA LINDA PLZ # 409, DALLAS, TX 75218-3471
(469) 283-0552
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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