Individual
JENNIFER D GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
2635 BAKER RD., BAYTOWN, TX 77521
(281) 837-8550
(281) 837-8709
Mailing address
7401 S. MAIN, HOUSTON, TX 77030
(713) 799-2300
(713) 794-3395
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
102511
TX
Other
Enumeration date
03/01/2007
Last updated
05/11/2012
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