Mary Kelly Green MD Pllc

NPI #1689947509 in Marble Falls, Texas

Provider Information

NPI Number: 1689947509
Entity Type: Organization
Organization Name: Mary Kelly Green MD Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Feb 23, 2012
Last Updated: Feb 24, 2012

Practice Location

Address: 204 GATEWAY N
Address 2: SUITE A
City: Marble Falls
State: Texas
ZIP Code: 78654-6361
Phone: (830) 698-5868

Authorized Official

Name: MARY K. GREEN, MD
Title: OWNER
Phone: (830) 693-5868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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