Doctor Name: | MR. BILLY J GREENVILLE |
NPI Number: | 1043419229 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | H.I.S. |
License Number: | 50486 |
Business Practice Address: | 709 S Main St Henderson, TX - 756543946 |
Business Phone Number: | 9036571702 |
Business Fax Number: | 9036574560 |
Mailing Address: | 709 S Main St, HENDERSON |
State: | TX |
Postal Code: | 756543946 |
Phone Number: | 9036571702 |
Fax Number: | 9036574560 |
NPI Enumeration Date: | 07/17/2007 |
NPI Last Update Date: | 07/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 50486 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |