Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | N5723 | TX |
NPI | 1023275963 |
---|---|
Provider Name | Dr. Sara Heldt Greer |
First Address | Southlake, TX 76092-5306 |
Second Address | Southlake, TX 76092-5306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2008 |
Last Update Date | 12/07/2013 |