Individual
MATTHEW T GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3711 MEADOW VIEW DR, COLLEGE STATION, TX 77845-7327
(979) 690-0888
Mailing address
4081 STATE HWY 6 SOUTH, STE 301, COLLEGE STATION, TX 77845
(979) 690-0888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5726TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144370701
—
TX
Enumeration date
08/20/2006
Last updated
08/27/2012
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