Green, Tanisha
Green, Tanisha is an individual health care provider with primary practice located at 12111 San Luca St , Richmond TX 77406-1542. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Green, Tanisha can be contacted via phone (713) 882-7223.Contact Information
Primary practice address
12111 San Luca St
Richmond TX 77406-1542
Phone: (713) 882-7223
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | M1117 | Texas |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | M1117 | Texas |
Profile Details
| NPI number | 1174616478 |
|---|---|
| LBN Legal business name | Green, Tanisha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Aug 2nd, 2021 - about 5 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.
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