Individual
PATRICK GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
371 OAKWOOD TRL, FAIRVIEW, TX 75069-8722
(214) 926-2341
Mailing address
371 OAKWOOD TRL, FAIRVIEW, TX 75069-8722
(214) 926-2341
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
11942053-1206
UT
Other
Enumeration date
05/11/2020
Last updated
11/02/2021
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