Quante Lamont Greenlee PA

NPI 1184857575 - Physician Assistant - 363AM0700X

NPI Details
NPI 1184857575
Gender Male
Enumeration Date 09/01/2009
Last Updated 04/01/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
855 MONTGOMERY ST
FORT WORTH TX, 76107-2553, US
Phone (817) 735-2660
Fax
Business Location
PO BOX 99335
FORT WORTH TX, 76199-0335, US
Phone (817) 735-2660
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Texas
License Number PA09115
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According to our database, Quante Lamont Greenlee PA NPI is 1184857575, taxonomy code is 363AM0700X and license number is PA09115, license state is located at Texas. Quante Lamont Greenlee PA physically located at 855 Montgomery St, Fort Worth TX, 76107-2553. NPI Number Quante Lamont Greenlee PA has the Individual type.

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1184857575 NPI number is provided on an as is basis without warranty of any kind. 1184857575 is maintained by the National Plan & Provider Enumeration System. The contents of Quante Lamont Greenlee PA are for informational purposes only.