Provider Demographics
NPI:1578788857
Name:GREENE, NOAH HIMES (MD)
Entity Type:Individual
Prefix:DR
First Name:NOAH
Middle Name:HIMES
Last Name:GREENE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1715 MCCULLOUGH AVE
Mailing Address - Street 2:FL 2
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4046
Mailing Address - Country:US
Mailing Address - Phone:210-558-0122
Mailing Address - Fax:210-832-9390
Practice Address - Street 1:5018 SAN PEDRO AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-1452
Practice Address - Country:US
Practice Address - Phone:210-558-0122
Practice Address - Fax:210-558-0120
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2022-02-10
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Provider Licenses
StateLicense IDTaxonomies
TXP0220207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB150474OtherWELLMED NETWORKS INC