WALTER RUSSELL GREEN

SAN ANTONIO, TX
NPI1447412598
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
Enumeration Date2008-06-30
Last Update Date2008-06-30
Business Address
Mr. WALTER RUSSELL GREEN
5131 ROOSEVELT AVE
SAN ANTONIO, TX 78214-3219
Phone number: 210-526-5213
Mailing Address
Mr. WALTER RUSSELL GREEN
5131 ROOSEVELT AVE
SAN ANTONIO, TX 78214-3219
Phone number: 210-526-5213