Provider Demographics
NPI:1922784529
Name:COPPER AND GREENS
Entity Type:Organization
Organization Name:COPPER AND GREENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTHCARE CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:SHERRON
Authorized Official - Last Name:WOODY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN, DLC, CCM, CN
Authorized Official - Phone:281-249-9444
Mailing Address - Street 1:3422 BUSINESS CENTER DR STE 106
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-4159
Mailing Address - Country:US
Mailing Address - Phone:281-249-9444
Mailing Address - Fax:
Practice Address - Street 1:8990 KIRBY DR STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2853
Practice Address - Country:US
Practice Address - Phone:281-249-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty