Individual
MRS. MATTHELON GREEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2002 HOLCOMBE BLVD., HOUSTON, TX 77030
(713) 794-7373
Mailing address
15422 BOW LN, HOUSTON, TX 77053-2102
(713) 434-9507
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
232433
TX
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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