Individual
DR. ERICKA PORTLEY GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6560 FANNIN ST, SUITE 802, HOUSTON, TX 77030-2761
(713) 441-3780
Mailing address
6560 FANNIN ST STE 802, HOUSTON, TX 77030-2726
(713) 441-3780
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
K2122
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044855704
—
TX
01
—
8S7379
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/03/2006
Last updated
05/04/2020
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