Green, Andrea Denise

Green, Andrea Denise is an individual health care provider with primary practice located at 10457 Winding Passage Way , Fort Worth TX 76131-3987. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Green, Andrea Denise can be contacted via phone (769) 447-9624.

Contact Information

Primary practice address
10457 Winding Passage Way Fort Worth TX 76131-3987
Phone: (769) 447-9624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1972956191
LBN Legal business name Green, Andrea Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2016
Last updated Jul 22nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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