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NPI Code Detail

MEDICARE: DR. GREGORY GREEN D.C.

MEDICARE: DR. GREGORY GREEN D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor11465TX

General Provider Information

NPI Number : 1033430145
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY GREEN D.C.
Provider Business Mailing Address
First Line : 3502 OAK FOREST DR STE B
Second Line :
City : HOUSTON
State : TX
Zip : 77018-6122
Country : US
Telephone Number : 832-203-5884
Fax Number : 832-200-3642
Provider Business Practice Location Address
First Line : 3502 OAK FOREST DR STE B
Second Line :
City : HOUSTON
State : TX
Zip : 77018-6122
Country : US
Telephone Number : 832-203-5884
Fax Number : 832-200-3642
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2010
Last Update Date : 06/07/2023

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Directions to “ DR. GREGORY GREEN D.C.” Practice Location

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