Organization · Type 2 NPI

Peter Green MD PA

Primary Care Clinic/Center · Burleson, TX

NPI number 1891004420 Active

Practice location

11801 South Fwy, Suite 234
Burleson, TX 76028-7021

Call (817) 293-2944 Map

Fax (817) 293-2039

Mailing address

PO Box 6337
Fort Worth, TX 76115-0337

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XF8497 (TX)

Primary Care Clinic/Center: Definition to come...

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About NPI 1891004420

Peter Green MD PA's National Provider Identifier is 1891004420, issued on Sep 30, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Burleson, TX. The record was last updated on Sep 30, 2010.