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Contact Information

CASEY GREEN, MD
855 MONTGOMERY ST
FORT WORTH, TX76107-2553
 Phone: 817-735-2400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for CASEY GREEN · (Male)

NPI # 1962656272
Status Active
Credentials MD
Entity Individual
Enumeration date 11/13/2008
Last updated 04/04/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TX License # N1657
  • TX Medicaid 215031003
  • TX Other 8DM260 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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