Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WALTER RUSSELL GREEN
Active Sole ProprietorMR. WALTER RUSSELL GREEN is a Customized Equipment (DME) healthcare provider located in SAN ANTONIO, Texas. NPI 1447412598 is currently active in the NPPES registry. Verify at CMS.
Customized Equipment (DME) · SAN ANTONIO, TX
Registration Details
- NPI Number
- 1447412598
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2008 (18.135895764116 yrs)
- Last Updated
- Jun 30, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
5131 ROOSEVELT AVESAN ANTONIO, TX, 782143219Browse TX providers · Browse ZIP 78214
- Phone
- 2105265213
- Fax
- 2106261191
- Primary Specialty
-
Customized Equipment (DME)
332BC3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.