Individual provider · Type 1 NPI
Walter Russell Green
Customized Equipment (DME) · San Antonio, TX
NPI number
1447412598
Active
Practice location
5131 Roosevelt Ave
San Antonio, TX 78214-3219
Fax (210) 626-1191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
Another provider at this address
About NPI 1447412598
Walter Russell Green's National Provider Identifier is 1447412598, issued on Jun 30, 2008. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in San Antonio, TX. The record was last updated on Sep 20, 2026.