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Organization
DAILY GREEN FAMILY HEALTH & CONVENIENT CARE, PLLC
Active
Organization
DAILY GREEN FAMILY HEALTH & CONVENIENT CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODI WILSON PORTIE (OFFICE MANAGER)
(409) 745-4130
Entity
Organization
Contact information
Practice address
11980 HIGHWAY 12, ORANGE, TX 77632-7822
(409) 745-4130
(409) 745-4187
Mailing address
PO BOX 660, MAURICEVILLE, TX 77626-0660
(409) 745-4130
(409) 745-4187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/27/2012
Last updated
04/16/2020
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