Individual
CASEY GREEN
Active
Individual
CASEY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N1657
TX
2084P0802X
Addiction Psychiatry Physician
N1657
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215031003
—
TX
01
—
8DM260
BCBS
TX
Enumeration date
11/13/2008
Last updated
04/04/2016
Update your record
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