Organization
MARY KELLY GREEN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY K. GREEN MD (OWNER)
(803) 693-3787
Entity
Organization
Contact information
Practice address
204 GATEWAY N, SUITE C, MARBLE FALLS, TX 78654-6361
(803) 693-3787
(803) 798-8012
Mailing address
204 GATEWAY N, SUITE C, MARBLE FALLS, TX 78654-6361
(803) 693-3787
(803) 798-8012
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
TX
Other
Enumeration date
03/12/2012
Last updated
06/15/2012
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