Individual
DR. DONOVAN GEORGE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3124 E. CENTRAL EXPRESSWAY, KILLEEN, TX 76543
(254) 690-4733
Mailing address
2618 DOUGLAS FIR, HARKER HEIGHTS, TX 76548-2546
(210) 709-2899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
435
NM
Other
Enumeration date
11/10/2005
Last updated
06/28/2023
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