MEDICARE: MITSUZI GREEN

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
1	163W00000X	Registered Nurse	667089-1	NY
2	374J00000X	Doula		TX

General Provider Information

NPI Number	:	1114323078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MITSUZI GREEN

Provider Business Mailing Address
First Line	:	12110 CITY TREK LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77047-5093
Country	:	US
Telephone Number	:	646-508-3595
Fax Number	:

Provider Business Practice Location Address
First Line	:	12110 CITY TREK LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77047-5093
Country	:	US
Telephone Number	:	646-508-3595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2014
Last Update Date	:	03/04/2025

Similar Medicare Providers

1487340683 — TOP RIDE LLC
Practice Location Address:

9002 SOLARA BEND CT
HOUSTON, TX
77083-5093

Practice Phone: 832-417-8620
Practice Fax:

1609730472 — TRUSTED EAGLE HOME CARE LLC.
Practice Location Address:

1333 ALMEDA GENOA RD
HOUSTON, TX
77047-4209

Practice Phone: 832-656-0193
Practice Fax:

1184468258 — ANGELA DANCY MED, LPC
Practice Location Address:

3522 TEAL LN
HOUSTON, TX
77047-5604

Practice Phone: 832-654-6600
Practice Fax:

1801750195 — PAULPHIELLE MCQUEEN
Practice Location Address:

13135 SKYVIEW LANDING DR
HOUSTON, TX
77047-8105

Practice Phone: 253-533-3340
Practice Fax:

1447112057 — RHONDA WILSON
Practice Location Address:

2201 W OREM DR APT 232
HOUSTON, TX
77047-4741

Practice Phone: 281-701-5973
Practice Fax:

1346243144 — DAVID WALKER LIGHT IV M.D.
Practice Location Address:

12951 SOUTH FWY
HOUSTON, TX
77047-1923

Practice Phone: 713-526-5771
Practice Fax: 713-526-2036

Directions to “ MITSUZI GREEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.