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Individual

MR. JAMES WALKER GREEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 742-8387
Mailing address
3824 CEDAR SPRINGS RD, BOX 705, DALLAS, TX 75219-4136
(903) 818-0617

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-72702
HI
163WG0000X
General Practice Registered Nurse
Primary
794875
TX

Other

Enumeration date
05/02/2013
Last updated
05/02/2013
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