Individual
CARROLL JEAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
2600 S LOOP W, SUITE 620, HOUSTON, TX 77054-2653
(713) 661-7246
(713) 661-7248
Mailing address
6518 MORNINGSAGE LN, SUITE 620, HOUSTON, TX 77088-6057
(832) 969-6744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13366
TX
Other
Enumeration date
01/03/2006
Last updated
01/03/2017
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