Healthcare Provider Details

I. General information

NPI: 1629196423
Provider Name (Legal Business Name): T DAVID GREER MD AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 SOUTH ARCHER
HENRIETTA TX
76365
US

IV. Provider business mailing address

PO BOX 360 102 SOUTH ARCHER
HENRIETTA TX
76365
US

V. Phone/Fax

Practice location:
  • Phone: 940-538-4336
  • Fax: 940-538-6271
Mailing address:
  • Phone: 940-538-4336
  • Fax: 940-538-6271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS DAVID GREET
Title or Position: OWNER PRESIDENT
Credential: MD
Phone: 94053843336