Individual
AVERY ALEXANDER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-3597
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
W0589
TX
Other
Enumeration date
03/29/2022
Last updated
11/03/2025
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