Provider Demographics
NPI:1902670037
Name:GREENE, EDRICKA (RDMS)
Entity Type:Individual
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First Name:EDRICKA
Middle Name:
Last Name:GREENE
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Gender:F
Credentials:RDMS
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Mailing Address - Street 1:2162 SPRING STUEBNER RD STE 140
Mailing Address - Street 2:BOX 497
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-5299
Mailing Address - Country:US
Mailing Address - Phone:713-853-9139
Mailing Address - Fax:832-626-9756
Practice Address - Street 1:21650 ALDINE WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-1092
Practice Address - Country:US
Practice Address - Phone:713-853-9139
Practice Address - Fax:832-626-9756
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX1977672085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound