Individual
CLATYON GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4203 NORTH MAIN ST., VICTORIA, TX 77901
(361) 573-2500
(361) 573-2506
Mailing address
4203 NORTH MAIN ST., VICTORIA, TX 77901
(361) 573-2500
(361) 573-2506
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51387
TX
Other
Enumeration date
05/03/2007
Last updated
05/24/2010
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