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1811900194
KEVIN DWIGHT GREEN
TYLER, TX
NPI
1811900194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: TX G5113)
Enumeration Date
2006-08-15
Last Update Date
2017-01-10
Business Address
-- KEVIN DWIGHT GREEN M.D.
1720 SOUTH BECKHAM AVE
TYLER, TX 75701
Phone number: 903-595-5101
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Mailing Address
-- KEVIN DWIGHT GREEN M.D.
PO BOX 846098
DALLAS, TX 75284-6098
Phone number: 903-324-6400
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