person
Mr. Walter Russell Green
Customized Equipment (DME) in San Antonio, Texas
NPI 1447412598

Walter Russell Green is a Customized Equipment (DME) based in San Antonio, TX and is specialized in Customized Equipment. Walter Russell Green practices in San Antonio, TX. The NPI Number for Walter Russell Green is 1447412598 and holds a License No. (Texas).

The current practice location address for Walter Russell Green is 5131 Roosevelt Ave, San Antonio, TX and can be reached out via phone at 210-526-5213 and via fax at 210-626-1191.

Location: 5131 Roosevelt Ave, San Antonio, TX, 78214-3219
person
Provider Profile Details
NPI Number
1447412598
Provider Name
Walter Russell Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
5131 Roosevelt Ave, San Antonio, TX, 78214-3219
Phone Number
210-526-5213
Fax Number
210-626-1191
Provider Enumeration Date
06/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5131 Roosevelt Ave
City
State
Zip
78214-3219
Phone Number
210-526-5213
Fax Number
210-626-1191
person
Provider Business Mailing Address Details
Address
5131 Roosevelt Ave
City
State
Zip
78214-3219
Phone Number
210-526-5213
Fax Number
210-626-1191
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
()
Definition
Definition to come...
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