Provider Demographics
NPI:1710149133
Name:GREER, JUDITH NETHERTON (APN)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:NETHERTON
Last Name:GREER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13215 DOTSON RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4535
Mailing Address - Country:US
Mailing Address - Phone:281-444-3440
Mailing Address - Fax:281-444-4080
Practice Address - Street 1:13215 DOTSON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4535
Practice Address - Country:US
Practice Address - Phone:281-444-3440
Practice Address - Fax:281-444-4080
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX543391363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX543391OtherBOARD OF NURSE EXAMINERS FOR THE STATE OF TEXAS
TXV0140098OtherTEXAS DPS
TXV0140098OtherTEXAS DPS