Individual provider · Type 1 NPI

Melvin Richard Green Jr., LMT

Specialist · San Antonio, TX

NPI number 1972840452 Active

Practice location

2106 E Sonterra Blvd Ste 111, Studio 42
San Antonio, TX 78259-7608

Call (210) 313-6994 Map

Mailing address

5931 Lost Creek St
San Antonio, TX 78247-1325

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XLMT 100005 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1972840452

Melvin Richard Green Jr., LMT's National Provider Identifier is 1972840452, issued on Jan 3, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Antonio, TX. The record was last updated on Jan 3, 2013.