Individual provider · Type 1 NPI

Tanisha Green, MD

General Practice Physician · Richmond, TX

NPI number 1174616478 Active

Practice location

12111 San Luca St
Richmond, TX 77406-1542

Call (713) 882-7223 Map

Mailing address

PO Box 840853
Dallas, TX 75284-0863

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000XM1117 (TX)
General Practice Physician Primary 208D00000XM1117 (TX)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1174616478

Tanisha Green, MD's National Provider Identifier is 1174616478, issued on Oct 2, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Richmond, TX. The record was last updated on Aug 2, 2021.