WALTER R GREEN, Customized Equipment SAN ANTONIO, TX

Contact Information

WALTER R GREEN

5131 ROOSEVELT AVE
SAN ANTONIO, TX 78214-3219

Phone: 210-526-5213
Fax: 210-626-1191
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Customized Equipment	332BC3200X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for WALTER R GREEN · (Male)

NPI Number	`1447412598`
Status	Active
Credentials
Entity	Individual
Enumeration date	06/30/2008
Last updated	06/30/2008 - About 18 years ago
Sole proprietor ¹	Yes
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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