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Individual

MRS. CHARITY ANN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4303 VICTORY DR, SUITE 201, AUSTIN, TX 78704-7507
(512) 462-3627
(512) 462-3431
Mailing address
4303 VICTORY DR, AUSTIN, TX 78704-7507
(512) 462-3627
(512) 462-3431

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
AP810244
TX
363LF0000X
Family Nurse Practitioner
Primary
AP810244
TX

Other

Enumeration date
07/29/2009
Last updated
06/04/2024
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