MARY ALEXIS GREEN, PA-C
Physician Assistant
Active
Individual
NPI: 1366436487
Practice Address
1455 E BERT KOUNS INDUSTRIAL LOOP STE 210Shreveport, LA 71105
Phone: (318) 798-4623
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA.200024 (LA) |
Frequently Asked Questions
NPI 1366436487 is the National Provider Identifier for MARY ALEXIS GREEN, PA-C, a Physician Assistant provider located in Shreveport, LA. This NPI was enumerated on September 2, 2005.
MARY ALEXIS GREEN, PA-C practices at 1455 E BERT KOUNS INDUSTRIAL LOOP STE 210, Shreveport, LA 71105.
Quick Facts
- NPI
- 1366436487
- Type
- Individual
- Enumerated
- Sep 2, 2005
- Last Updated
- Feb 2, 2026
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