Individual provider · Type 1 NPI
Eric Demond Green
Driver · Shepherd, TX
NPI number
1871011064
Active
Practice location
90 Pine St
Shepherd, TX 77371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 11271506 (TX) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1871011064
Eric Demond Green's National Provider Identifier is 1871011064, issued on Sep 7, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Shepherd, TX. The record was last updated on Jul 21, 2022.