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Individual

ROBYN JOY GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CPNP

Contact information

Practice address
1935 MEDICAL DISTRICT DR # D2.04, DALLAS, TX 75235-7701
(214) 456-7467
(214) 456-7894
Mailing address
1935 MEDICAL DISTRICT DR # D2.04, DALLAS, TX 75235-7701
(214) 456-7467
(214) 456-7894

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
814484
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP121751
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3300238-01
TX
Enumeration date
05/09/2012
Last updated
08/27/2024
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