Individual
ANDREA LYNETTE WHITE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 TWIN SPRINGS DR, DALWORTHINGTON GARDENS, TX 76016-4027
(817) 467-0527
(817) 467-0573
Mailing address
5 TWIN SPRINGS DR, DALWORTHINGTON GARDENS, TX 76016-4027
(817) 467-0527
(817) 467-0573
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036153315
IL
207P00000X
Emergency Medicine Physician
27978
WI
207P00000X
Emergency Medicine Physician
43981
CO
207P00000X
Emergency Medicine Physician
G9826
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158826103
—
TX
05
—
58137351
—
CO
01
—
P00421202
RAILROAD MEDICARE
—
Enumeration date
12/14/2005
Last updated
01/03/2025
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