Individual
TASHA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
13906 TORDILLO DR, ELGIN, TX 78621-2340
(737) 232-9725
Mailing address
13906 TORDILLO DR, ELGIN, TX 78621-2340
(361) 218-2810
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
TX
3747A0650X
Attendant Care Provider
Primary
—
TX
3747P1801X
Personal Care Attendant
—
TX
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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