Individual provider · Type 1 NPI

Jennifer D. Green, CST

Surgical Physician Assistant · Baytown, TX

NPI number 1124156922 Active

Practice location

2635 Baker Rd.
Baytown, TX 77521

Fax (281) 837-8709

Mailing address

7401 S. Main
Houston, TX 77030

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X102511 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1124156922

Jennifer D. Green, CST's National Provider Identifier is 1124156922, issued on Mar 1, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Baytown, TX. The record was last updated on May 11, 2012.