DR. Michael Lewis Green JR., M.D.
NPI #1134165566 in Fort Worth, Texas
Provider Information
- NPI Number
- 1134165566
- Entity Type
- Individual
- Name
- DR. Michael Lewis Green JR., M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Surgery
- Credential
- M.D.
- Enumeration Date
- Jun 22, 2006
- Last Updated
- Jan 28, 2022
Practice Location
- Address
- 900 JEROME ST
- Address 2
- SUITE 204
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76104-3945
- Phone
- (817) 720-9552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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