Individual
MRS. HEATHER MICHELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
134 DEEP HARBOR DR, GUN BARREL CITY, TX 75156-5373
(903) 603-1266
Mailing address
134 DEEP HARBOR DR, GUN BARREL CITY, TX 75156-5373
(903) 603-1266
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99479
TX
Other
Enumeration date
04/04/2022
Last updated
04/04/2022
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