Individual
CHASE ELAINE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 4TH ST STOP 8103, LUBBOCK, TX 79430-8103
(504) 812-9421
Mailing address
6963 101ST ST, LUBBOCK, TX 79424-3919
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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