Provider Demographics
NPI:1376849778
Name:GREEN, QIANA ENJOLIE (DO)
Entity Type:Individual
Prefix:DR
First Name:QIANA
Middle Name:ENJOLIE
Last Name:GREEN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:10680 JONES RD
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5594
Mailing Address - Country:US
Mailing Address - Phone:281-894-3100
Mailing Address - Fax:281-894-3105
Practice Address - Street 1:3645 CYPRESS CREEK PKWY
Practice Address - Street 2:SUITE 278
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3625
Practice Address - Country:US
Practice Address - Phone:281-894-3100
Practice Address - Fax:281-894-3105
Is Sole Proprietor?:No
Enumeration Date:2011-02-01
Last Update Date:2017-05-04
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Provider Licenses
StateLicense IDTaxonomies
TXN6329208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics