DEREN ROBERT GREEN (NPI# 1194374215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194374215 |
| Entity Type | Individual |
| Full Name | DEREN ROBERT GREEN |
| Practice Address |
1401 Dezarae Lot #3 San Antonio TX 78253 |
| Practice Telephone | 2108751437 |
| Mailing Telephone | 2108751437 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12145 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1401 DEZARAE LOT #3 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587431 | Mysa Dental Pllc | Clinic/Center | 13762 Potranco Rd, Suite 400, San Antonio, TX 78253 | 2020-10-30 |
| 1831796770 | Keesha Ann Green | Behavior Technician | 5522 Lone Star Pkwy Building #3 Suite 101, San Antonio, TX 78253 | 2020-10-05 |
| 1164044392 | H-e-b, Lp | Clinical Medical Laboratory | 14325 Potranco Rd, San Antonio, TX 78253 | 2020-05-11 |
| 1790318400 | Judith Poole | Massage Therapist | 10919 Culebra Rd Ste 112, Room 5, San Antonio, TX 78253 | 2020-02-20 |
| 1780217976 | Tovar Dental, Pllc | Dentist | 11840 Alamo Ranch Parkway, #90, San Antonio, TX 78253 | 2020-02-17 |
| 1104468263 | Diane-claire Villarreal | Behavior Technician | 522 Lonestar Parkway Suite 101, San Antonio, TX 78253 | 2019-10-10 |
| 1508425554 | Michael Lavaughn Nash | Physical Therapist | 11919 Culebra Road, Bldg. 1, Suite 101, San Antonio, TX 78253 | 2019-06-12 |
| 1548823263 | Bexar County Emergency Services District Number Two | Ambulance | 7045 Old Talley Rd., San Antonio, TX 78253 | 2019-04-18 |
| 1053879742 | Donnelle D Storrs | Nurse Practitioner | Soba Recovery Center Texas, 1401 Dezarae, San Antonio, TX 78253 | 2019-03-12 |
| 1003399098 | Omni Vision IIi | Optometrist | 120 Empresario Drive, Ste 111, San Antonio, TX 78253 | 2018-09-14 |
| Find all providers in zip 78253 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849148 | Priscilla Rosas | Counselor | 8431 Chivalry St, San Antonio, TX 78254 | 2020-10-22 |
| 1861007452 | David Cortez I | Counselor | 437 Mccarty Rd, San Antonio, TX 78216-4445 | 2020-09-10 |
| 1174136238 | Christine E Myers | Counselor | 7915 Avellano, San Antonio, TX 78250-5151 | 2020-08-28 |
| 1013528413 | Jaime Valdes | Counselor | 307 One Oak Dr, San Antonio, TX 78228-1530 | 2020-08-11 |
| 1114548161 | Ben Ligon | Counselor | 3 Inwood Oaks, San Antonio, TX 78248-1624 | 2020-04-30 |
| 1528688165 | Tyrone Samuel Charles Jr. | Counselor | 5312 Cilantro Pl, San Antonio, TX 78238-2346 | 2020-04-23 |
| 1730727793 | Stephanie Lynn Pirtz | Counselor | 455 Solar Dr, San Antonio, TX 78227-3838 | 2019-12-20 |
| 1750928339 | Catherine Rose Rodriguez | Counselor | 571 Spencer Ln Ste 101, San Antonio, TX 78201-2030 | 2019-12-03 |
| 1235775206 | Liddia George | Counselor | 419 E Magnolia Ave, San Antonio, TX 78212-3012 | 2019-11-25 |
| 1679123335 | Jordan Nicole Cienski | Counselor | 814 Camden St, San Antonio, TX 78215-1445 | 2019-09-16 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78253 |
Please comment or provide details below to improve the information on DEREN ROBERT GREEN.
| 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.