Green, Becky Ann
Green, Becky Ann is an sole proprietor health care provider with primary practice located at 10383 Highway 12 Suite116, Orange TX 77632-7415. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Green, Becky Ann can be contacted via phone (409) 745-4130.Contact Information
Primary practice address
10383 Highway 12 Suite116
Orange TX 77632-7415
Phone: (409) 745-4130
Fax: (409) 745-4187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F0607267 | Texas |
Profile Details
| NPI number | 1215127329 |
|---|---|
| LBN Legal business name | Green, Becky Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Sep 27th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215127329 | NPPES |
| Texas | MEDICAID | 30331101 | |
| Texas | Other | F0607267 |
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