Jennifer D Green, CST
Physician Assistant, Surgical in Baytown, TX. Individual provider (NPI-1).
NPI number1124156922
StatusActive
Last updated in NPPESMay 11, 2012
Details
- NPI
- 1124156922
- Entity type
- Individual (NPI-1)
- Name
- Jennifer D Green
- Credential
- CST
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2007
- Last updated
- May 11, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 102511 | TX | Yes |
Other names
- Jennifer D Moore (Former Name)
Practice location
2635 Baker Rd.Baytown, TX 77521
Phone 281-837-8550 · Fax 281-837-8709
Mailing address
7401 S. MainHouston, TX 77030
Phone 713-799-2300 · Fax 713-794-3395
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Surgical Physician Assistant providers in Baytown, TX
- Joulieth Marcela CardenasNPI 1104688100
- Jose Manuel Chavarria, SURGICAL ASSISTANTNPI 1669025649
- Ashley Naguit, PANPI 1982182929
- New Moon Surgical Assistance, LLCNPI 1548889769
- Jason T. Smith, CSFANPI 1083006670
All 6 Surgical Physician Assistant providers in Baytown · All 1,746 providers in Baytown
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