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Mr. Clarence Peter Green
Driver in Beaumont, Texas
NPI 1669025789

Clarence Peter Green is a Driver based in Beaumont, TX. Clarence Peter Green practices in Beaumont, TX. The NPI Number for Clarence Peter Green is 1669025789 and holds a License No. 19195530 (Texas).

The current practice location address for Clarence Peter Green is 2360 S 8Th St, Beaumont, TX and can be reached out via phone at 409-239-2779.

Location: 2360 S 8Th St, Beaumont, TX, 77701-6401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669025789
Provider Name
Clarence Peter Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
2360 S 8Th St, Beaumont, TX, 77701-6401
Phone Number
409-239-2779
Fax Number
Provider Enumeration Date
07/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2360 S 8Th St
City
Beaumont
State
Texas
Zip
77701-6401
Phone Number
409-239-2779
Fax Number
person
Provider Business Mailing Address Details
Address
2360 S 8Th St
City
Beaumont
State
Texas
Zip
77701-6401
Phone Number
409-239-2779
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
19195530 (Texas)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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