IndividualActive
La Shannon Green
NPI 1134080922 · Primary Care Nurse Practitioner · Sanger, TX
Provider details
- NPI number
- 1134080922
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1195392 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4009 Avion Dr
Sanger, TX 76266-1726
Phone: (469) 989-6472
Fax: (469) 989-6472
Approximate (ZIP-level) locationGet directions
Mailing address
4009 Avion Dr
Sanger, TX 76266-1726
Registry dates
- Enumerated
- 2025-11-20
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.