Gerald I Green is a Specialist in San Antonio, Texas. Gerald I Green practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gerald I Green is 1568413011. The last update date is 2007-07-08.
Gerald I Green's current location address is 540 Madison Oak, San Antonio, Texas. You can contact this provider via phone number 2104900202 and fax number 2104900648. The mailing address for Gerald I Green is 540 Madison Oak, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald I Green |
|---|---|
| Address | 540 Madison Oak, San Antonio, Texas |
| Phone Number | 2104900202 |
| Fax Number | 2104900648 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1568413011 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 540 Madison Oak |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782583943 |
| Phone Number | 2104900202 |
| Fax Number | 2104900648 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | D8539 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z000AB485 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gerald I Green by the Centers for Medicare & Medicaid Services?
The Gerald I Green has been issued the NPI (National Provider Identifier) 1568413011, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gerald I Green's facilities are geographically located?
The facilities of Gerald I Green are physically situated at the following location: 540 Madison Oak, San Antonio, TX, 782583943.
What is Gerald I Green's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gerald I Green's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did the Gerald I Green receive its 1568413011?
The Gerald I Green was issued its 1568413011 on 2006-05-12, which is the date when the organization was assigned this unique identifier.
When was the information regarding Gerald I Green most recently updated?
The details pertaining to the Gerald I Green, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.