Carroll Jean Green, PA C

NPI #1114905015 in Houston, Texas

Provider Information

NPI Number: 1114905015
Entity Type: Individual
Name: Carroll Jean Green, PA C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: PA C
Enumeration Date: Jan 3, 2006
Last Updated: Jan 3, 2017

Practice Location

Address: 2600 S LOOP W
Address 2: SUITE 620
City: Houston
State: Texas
ZIP Code: 77054-2653
Phone: (713) 661-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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