Green, Edward A

Green, Edward A is an sole proprietor health care provider with primary practice located at 507 N Sam Houston Pkwy E Suite 125, Houston TX 77060-4021. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Green, Edward A can be contacted via phone (832) 622-2386.

Contact Information

Primary practice address
507 N Sam Houston Pkwy E Suite 125 Houston TX 77060-4021
Phone: (832) 622-2386
Fax: (800) 434-4305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 01647 Texas

Profile Details

NPI number 1639171515
LBN Legal business name Green, Edward A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated Jul 7th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639171515 NPPES
Texas Other 80552W BCBS TEXAS
Texas MEDICAID 037320101 BCBS TEXAS

Popular Providers