Individual
BECKY ANN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10383 HIGHWAY 12, SUITE116, ORANGE, TX 77632-7415
(409) 745-4130
(409) 745-4187
Mailing address
10383 HIGHWAY 12, SUITE 116, ORANGE, TX 77632-7415
(409) 745-4130
(409) 745-4187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0607267
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30331101
—
TX
01
—
F0607267
NP-C
TX
Enumeration date
07/26/2007
Last updated
09/27/2012
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