Individual
KATRINA MASON - GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 S POWELL PKWY, ANNA, TX 75409-2586
(732) 318-7465
(682) 213-2892
Mailing address
2021 WIMBLEDON DR, ALLEN, TX 75013-3027
(732) 318-7465
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1090458
TX
363L00000X
Nurse Practitioner
1090458
TX
Other
Enumeration date
09/21/2022
Last updated
07/09/2025
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