LAVARRE GREEN

SAN ANTONIO, TX
NPI1487240446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: TX  119090)
Enumeration Date2020-12-14
Last Update Date2022-12-27
Business Address
LAVARRE GREEN OTR
9939 FREDERICKSBURG RD APT 1815
SAN ANTONIO, TX 78240-4158
Phone number: 504-300-7425
Mailing Address
LAVARRE GREEN OTR
9939 FREDERICKSBURG RD APT 1815
SAN ANTONIO, TX 78240-4158
Phone number: 504-300-7425
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