Individual
SUSANNA LEIGH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16651 SOUTHWEST FWY STE 320, SUGAR LAND, TX 77479-2394
(346) 874-2425
Mailing address
16651 SOUTHWEST FWY STE 320, SUGAR LAND, TX 77479-2394
(346) 874-2425
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11514
TX
Other
Enumeration date
01/31/2018
Last updated
04/14/2023
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