person
Mrs. Lakeshur Rosha Green, FNP
Family Nurse Practitioner in League City, Texas
NPI 1649289091

Lakeshur Rosha Green is a Family Nurse Practitioner based in Houston, TX and is specialized in Family. Lakeshur Rosha Green practices in League City, TX and has the professional credentials of FNP. The NPI Number for Lakeshur Rosha Green is 1649289091 and holds a License No. 658237 (Texas).

The current practice location address for Lakeshur Rosha Green is 2955 Gulf Fwy S, League City, TX and can be reached out via phone at 281-337-7351 and via fax at 281-534-4236.

Location: 2955 Gulf Fwy S, League City, TX, 77046-0905
person
Provider Profile Details
NPI Number
1649289091
Provider Name
Lakeshur Rosha Green
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2955 Gulf Fwy S, League City, TX, 77046-0905
Phone Number
281-337-7351
Fax Number
281-534-4236
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8Y8552 01 TX BCBSTX PROVIDER NUMBER
8L8989 01 MEDICARE TPAN
8L8991 01 MEDICARE TPAN
8L8992 01 MEDICARE TPAN
8L8993 01 MEDICARE TPAN
8L8990 01 MEDICARE TPAN
institution
Provider Business Practice Location Address Details
Address
2955 Gulf Fwy S
City
State
Zip
77573-6750
Phone Number
281-337-7351
Fax Number
281-534-4236
person
Provider Business Mailing Address Details
Address
2955 Gulf Fwy S
City
State
Zip
77573-6750
Phone Number
281-337-7351
Fax Number
281-534-4236
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
658237 (Texas)
Definition
Definition to come...
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