Organization · Type 2 NPI
Demetris Allen Green MD
General Practice Physician · Houston, TX
NPI number
1669609459
Active
Practice location
10610 Fondren Rd, Ste 124
Houston, TX 77096-5422
Fax (713) 981-5553
Mailing address
8299 Cambridge St Apt 1203
Houston, TX 77054-3141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | J4168 (TX) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
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About NPI 1669609459
Demetris Allen Green MD's National Provider Identifier is 1669609459, issued on Jun 18, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Houston, TX. The record was last updated on Jun 22, 2009.