Individual provider · Type 1 NPI

Shannon Greene, R. EEG T., CLTM

Electroneurodiagnostic Specialist/Technologist · Richardson, TX

NPI number 1407635774 Active

Practice location

1819 Jay Ell Dr
Richardson, TX 75081-2063

Mailing address

11206 University Ave Apt 204
Lubbock, TX 79423-6194

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1407635774

Shannon Greene, R. EEG T., CLTM's National Provider Identifier is 1407635774, issued on Sep 26, 2023. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Richardson, TX. The record was last updated on Sep 26, 2023.