Provider Demographics
NPI:1265786586
Name:GREENMAN, BETTY HANNAH (IBCLC)
Entity type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:HANNAH
Last Name:GREENMAN
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11811 DANDELION LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2608
Mailing Address - Country:US
Mailing Address - Phone:713-540-8692
Mailing Address - Fax:713-721-4373
Practice Address - Street 1:11811 DANDELION LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2608
Practice Address - Country:US
Practice Address - Phone:713-540-8692
Practice Address - Fax:713-721-4373
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11022018174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN