Organization · Type 2 NPI

Demetris A. Green, Sr. MD PA

General Practice Physician · Houston, TX

NPI number 1740678770 Active

Practice location

2646 S Loop W, Suite 220
Houston, TX 77054-2665

Call (713) 808-9658 Map

Fax (281) 501-3075

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician 207QA0505XNone listed
General Practice Physician Primary 208D00000XNone listed

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 1740678770

Demetris A. Green, Sr. MD PA's National Provider Identifier is 1740678770, issued on Dec 29, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Houston, TX. The record was last updated on Dec 29, 2014.