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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY GEORGE GREESON, MED, LAT, ATC

Active Sole Proprietor

JERRY GEORGE GREESON, MED, LAT, ATC is a Sports Medicine (EM) healthcare provider located in JBSA LACKLAND, Texas. NPI 1831799238 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (EM) · JBSA LACKLAND, TX

Registration Details

NPI Number
1831799238
Provider Type
Individual
Gender
Male
NPI Issued
Oct 27, 2020 (5.6132330766114 yrs)
Last Updated
Oct 27, 2020
License
AT0646 (TX)
Sole Proprietor
Yes

Practice Information

Address
2239 WALKER AVE BLDG 5570
JBSA LACKLAND, TX, 782365632
Browse TX providers · Browse ZIP 78236
Phone
2103658316
Primary Specialty
Sports Medicine (EM)
207PS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.