Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY GEORGE GREESON, MED, LAT, ATC
Active Sole ProprietorJERRY 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 5570JBSA LACKLAND, TX, 782365632Browse 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.