Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Walter Russell Green

Individual provider Customized Equipment (DME) · NPI 1447412598

Mr. Walter Russell Green is a Customized Equipment (DME) in San Antonio, Texas. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008
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Practice location Address checks out

5131 Roosevelt Ave
San Antonio, TX 78214-3219
Phone: (210) 526-5213
Fax: (210) 626-1191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X

Record details

NPI number1447412598
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 30, 2008
Last updated in NPPESJune 30, 2008

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