Organization
INSURANCE SERVICES GREEN, CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M FORTENBERRY (PRESIDENT)
(713) 353-4634
Entity
Organization
Contact information
Practice address
1200 SMITH ST, STE 1600, HOUSTON, TX 77002-4313
(713) 353-4634
Mailing address
1200 SMITH ST, STE 1600, HOUSTON, TX 77002-4313
(713) 353-4634
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
04322567
TX
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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