Individual
MICHAEL DESHONE GREEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1502 E 16TH ST, LUBBOCK, TX 79403-5316
(806) 837-8469
Mailing address
1502 E 16TH ST, LUBBOCK, TX 79403-5316
(806) 837-8469
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
04/12/2026
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