Individual
JULIE BETH GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(800) 270-2216
(817) 877-0350
Mailing address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(817) 529-1152
(817) 334-0235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K3214
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129629506
—
TX
Enumeration date
06/09/2006
Last updated
09/23/2009
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