; NPI #1447412598

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

NPI #	`1447412598`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	06/30/2008
Last updated	06/30/2008 - About 18 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Specialty

Customized Equipment

NPI Profile & details for

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