IndividualActive
Andrea Green
NPI 1972956191 · Other Technician · Fort Worth, TX
Provider details
- NPI number
- 1972956191
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
10457 Winding Passage Way
Fort Worth, TX 76131-3987
Phone: (769) 447-9624
Mailing address
10457 Winding Passage Way
Fort Worth, TX 76131-3987
Registry dates
- Enumerated
- 2016-07-22
- Last updated
- 2016-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.