Mary Alexis K Green, PA-C
NPI #1366436487 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1366436487
- Entity Type
- Individual
- Name
- Mary Alexis K Green, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 2, 2005
- Last Updated
- Feb 2, 2026
Practice Location
- Address
- 1455 E BERT KOUNS INDUSTRIAL LOOP STE 210
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71105-6000
- Phone
- (318) 798-4623
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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