Green, Casey

Green, Casey is an individual health care provider with primary practice located at 855 Montgomery St , Fort Worth TX 76107-2553. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Green, Casey can be contacted via phone (817) 735-2400.

Contact Information

Primary practice address
855 Montgomery St Fort Worth TX 76107-2553
Phone: (817) 735-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X N1657 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X N1657 Texas

Profile Details

NPI number 1962656272
LBN Legal business name Green, Casey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2008
Last updated Apr 4th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962656272 NPPES
Texas Other 8DM260 BCBS
Texas MEDICAID 215031003 BCBS

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