Individual
JORDAN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
2550 W FM 544, WYLIE, TX 75098-4936
(972) 429-3100
Mailing address
1502 RIVER OAKS CIR APT 228, WYLIE, TX 75098-7897
(903) 821-1612
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000013405
TX
2255A2300X
Athletic Trainer
TX4951
TX
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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