Jack Greenan

NPI #1639613979 in Texarkana, Texas

Provider Information

NPI Number: 1639613979
Entity Type: Individual
Name: Jack Greenan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Dec 6, 2016
Last Updated: Jun 3, 2019

Practice Location

Address: 2703 RICHMOND RD
City: Texarkana
State: Texas
ZIP Code: 75503-2328
Phone: (903) 838-0783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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