GABRIEL GUSTAVO GREENE

KNOXVILLE, TN
NPI1568114734
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  4965)
Enumeration Date2022-01-19
Last Update Date2024-05-31
Business Address
Mr. GABRIEL GUSTAVO GREENE PA-C
6473 KINGSTON PIKE STE 6473
KNOXVILLE, TN 37919-4832
Phone number: 616-459-4171
Mailing Address
Mr. GABRIEL GUSTAVO GREENE PA-C
PO BOX 207830
DALLAS, TX 75320-7830
Phone number: 888-412-2649