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NPI Code Detail

MEDICARE: NATHANIEL GREENWOOD D.O.

MEDICARE: NATHANIEL GREENWOOD D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianOT011248PA
2207P00000XEmergency Medicine Physician2008NE
3208D00000XGeneral Practice Physician2008NE
4207P00000XEmergency Medicine PhysicianP2863TX

General Provider Information

NPI Number : 1770798563
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHANIEL GREENWOOD D.O.
Provider Business Mailing Address
First Line : 3620 E WHITESTONE BLVD
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-7441
Country : US
Telephone Number : 512-260-2732
Fax Number :
Provider Business Practice Location Address
First Line : 3620 E WHITESTONE BLVD
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-7441
Country : US
Telephone Number : 512-260-2732
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 03/25/2026

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