Green, Tara L

Green, Tara L is an individual health care provider with primary practice located at 701 Arkansas Blvd , Texarkana AR 71854-2105. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Green, Tara L can be contacted via phone (870) 772-5028.

Contact Information

Primary practice address
701 Arkansas Blvd Texarkana AR 71854-2105
Phone: (870) 772-5028
Fax: (870) 772-5056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1316218803
LBN Legal business name Green, Tara L
Credentials MHPP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2012
Last updated Jan 16th, 2012 - about 12 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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