Melvin Richard Green Jr., LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

LMT 100005 Issued in TX

Practice address

2106 E Sonterra Blvd Ste 111
Studio 42
San Antonio, TX 78259-7608

Phone

(210) 313-6994

NPI assigned

Jan 3, 2013

Last updated

Jan 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1972840452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 LOST CREEK ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471325",
            "telephone_number": "210-313-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 E SONTERRA BLVD STE 111",
            "address_2": "STUDIO 42",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782597608",
            "telephone_number": "210-313-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MELVIN",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "LMT 100005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Green III, MD
• Karen Green, PA-C
• Keesha Ann Green
• Lavarre Green, OTR
• Margaret Faye Green
• Molleigh Green
• Olivia Green, CNM
• Otha Green Jr., PT
• Pressous Green, LPC-ASSOCIATE
• Quiana Green

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.