Individual provider · Type 1 NPI

Demetris Allen Green Sr., MD

General Practice Physician · Houston, TX

NPI number 1699973420 Active

Practice location

2646 S Loop W, Suite 440
Houston, TX 77054-2665

Call (713) 808-9658 Map

Fax (281) 501-3075

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XJ4168 (TX)
Family Medicine Physician 207Q00000XJ4168 (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.

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About NPI 1699973420

Demetris Allen Green Sr., MD's National Provider Identifier is 1699973420, issued on Jul 3, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Houston, TX. The record was last updated on Aug 5, 2012.