Provider Demographics
NPI:1821537440
Name:GREER, ALISIA
Entity Type:Individual
Prefix:
First Name:ALISIA
Middle Name:
Last Name:GREER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 14TH ST
Mailing Address - Street 2:APT 4201
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-7300
Mailing Address - Country:US
Mailing Address - Phone:214-973-0262
Mailing Address - Fax:
Practice Address - Street 1:4701 14TH ST
Practice Address - Street 2:APT 4201
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-7300
Practice Address - Country:US
Practice Address - Phone:214-973-0262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service