Green, Hal Leslie

Green, Hal Leslie is an sole proprietor health care provider with primary practice located at 4102 24Th St Suite 302, Lubbock TX 79410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Green, Hal Leslie can be contacted via phone (806) 795-6428.

Contact Information

Primary practice address
4102 24Th St Suite 302 Lubbock TX 79410
Fax: (806) 795-3654
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C8522 Texas

Profile Details

NPI number 1528035318
LBN Legal business name Green, Hal Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated Jan 27th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528035318 NPPES
Texas MEDICAID 110594201

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