Individual
DEBRA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6100 HARRIS PKWY, FORT WORTH, TX 76132
(817) 433-1800
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
535330
TX
Other
Enumeration date
03/30/2006
Last updated
06/15/2018
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