Individual
DUSTIN PAUL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1306 N TRAVIS ST, SHERMAN, TX 75092-5139
(972) 983-2336
Mailing address
1306 N TRAVIS ST, SHERMAN, TX 75092-5139
(972) 983-2336
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5879
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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