Individual
MR. JOSHUA HUNTER GREENE
Active
Individual
MR. JOSHUA HUNTER GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPA-C, LSA
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT001313
GA
246ZS0410X
Surgical Technologist
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1077
STATE LICENSE
TX
01
—
SA00536
TEXAS STATE SURGICAL ASSISTANT LICENSE
TX
Enumeration date
05/22/2007
Last updated
10/29/2015
Update your record
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