Individual
DON WAYNE GREENWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
901 W ROSEDALE ST, FORT WORTH, TX 76104-4538
(817) 737-4300
Mailing address
8752 VISTA ROYALE DR, FORT WORTH, TX 76108-7945
(817) 945-8857
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1126910
TX
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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