MR. WALTER RUSSELL GREEN


Address: 5131 Roosevelt Ave, San Antonio, TX 78214-3219
Phone: 2105265213

MR. WALTER RUSSELL GREEN (NPI# 1447412598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447412598
Entity Type Individual
Full Name MR. WALTER RUSSELL GREEN
Practice Address 5131 Roosevelt Ave
San Antonio
TX 78214-3219
Practice Telephone 2105265213
Practice Fax Number 2106261191
Mailing Telephone 2105265213
Mailing Fax Number 2106261191
Enumeration Date 2008-06-30
Last Update Date 2008-06-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers

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1962591487 Walter Franklin Green IIi General Practice 51 North Liberty Street, Harrisburg, VA 22802-3740 2006-10-12
1588106504 Walter W Green IIi Chiropractor 7204 Main St, Ste 200, The Colony, TX 75056 2016-11-08
1922461805 Walter Green Student in an Organized Health Care Education/Training Program 464 Congress Ave, Suite #260, New Haven, CT 06519-1361 2016-03-30
1558751487 Walter Green IIi Dentist 1 Freedom Way, Augusta, GA 30904-6258 2015-01-30
1356357982 Walter L Green Emergency Medicine 5323 Harry Hines Blvd, Dallas, TX 75390-7201 2006-08-01

Office Location

Street Address 5131 ROOSEVELT AVE
City SAN ANTONIO
State TX
Zip Code 78214-3219

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629384110 Total Mobility Services, Inc. Durable Medical Equipment & Medical Supplies 5131 Roosevelt Ave, San Antonio, TX 78214-3219 2010-08-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104380245 Mission Event Senior Center LLC Clinic/Center 5614 South Flores Street, San Antonio, TX 78214 2019-01-23
1396239497 Allen Ray Williams II Chiropractor 6000 Farm To Market 3009, Ste 200, San Antonio, TX 78214 2018-06-21
1326482027 Rolando Gonzalez Specialist/Technologist, Other 1131 91st St, San Antonio, TX 78214 2013-04-24
1235425463 Roberto Issac Cortez Dentist 3454 Roosevelt Avenue, San Antonio, TX 78214 2011-06-27
1104110501 Mission Plaza Dental Pllc Dentist 3454 Roosevelt Ave., San Antonio, TX 78214 2011-06-02
1982904561 Amir Ahmed Pharmacist 119 Huizar Street, Cyctic Fibrosis Services, San Antonio, TX 78214 2010-10-28
1962734160 J. Andrew Jackson, D.d.s. Ltd., LLP Dentist 600 Division, Suite E., San Antonio, TX 78214 2010-02-12
1881805653 Bruce Lee Vetters Dentist 6619 S Flores, San Antonio, TX 78214 2007-05-24
1053403147 John D Cochran Dds Inc Dentist 5713 South Flores, San Antonio, TX 78214 2006-09-28
1306945415 Idalia Ivanna Benavides Specialist 161 Tommins Ave., San Antonio, TX 78214 2006-09-22
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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639794621 Allen E Navey Dds Pa Durable Medical Equipment & Medical Supplies 405 W Gramercy Pl, San Antonio, TX 78212-2827 2020-06-15
1245875574 Perry Dental Health, Pa Durable Medical Equipment & Medical Supplies 15900 La Cantera Pkwy Ste 26245, San Antonio, TX 78256-2481 2019-11-11
1194374801 Joseph S Boyle Dds Pa Durable Medical Equipment & Medical Supplies 7718 Louis Pasteur Ct Ste 101, San Antonio, TX 78229-3654 2019-09-05
1487135364 Implant Concierge, LLC Durable Medical Equipment & Medical Supplies 11503 Nw Military Hwy Ste 212, San Antonio, TX 78231-1895 2018-08-28
1801307228 Km Remodeling LLC Durable Medical Equipment & Medical Supplies 7915 Mainland Dr Ste 200, San Antonio, TX 78250-5160 2017-10-12
1962922468 Alamo Assistive Technology Durable Medical Equipment & Medical Supplies 14040 Nacogdoches Rd Ste 107, San Antonio, TX 78247-2068 2017-06-26
1871947382 Hurricane Seating & Mobility, LLC Durable Medical Equipment & Medical Supplies 9510 Tioga Dr Ste 103, San Antonio, TX 78230 2016-04-20
1295109122 Mobility Express Plus LLC Durable Medical Equipment & Medical Supplies 10550 Sentinel St, San Antonio, TX 78217-3822 2015-11-16
1497199053 Armada Medical Supplier, LLC Durable Medical Equipment & Medical Supplies 7342 Reindeer Trl, San Antonio, TX 78238-1275 2013-04-24
1871853580 Cg Healthcare Products LLP Durable Medical Equipment & Medical Supplies 8181 Tezel Rd, Sye 102-30, San Antonio, TX 78250-3034 2012-05-29
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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