institution
Demetris Allen Green Md
General Practice Physician in Houston, Texas
NPI 1669609459

Demetris Allen Green Md is a General Practice Physician based in Houston, TX. Demetris Allen Green Md practices in Houston, TX. The NPI Number for Demetris Allen Green Md is 1669609459 and holds a License No. J4168 (Texas).

The current practice location address for Demetris Allen Green Md is 10610 Fondren Rd, Houston, TX and can be reached out via phone at 713-981-5167 and via fax at 713-981-5553.

Location: 10610 Fondren Rd, Houston, TX, 77054-3141
institution
Provider Profile Details
NPI Number
1669609459
Provider Name
Demetris Allen Green Md
Credential
Provider Entity Type
Organization
Address
10610 Fondren Rd, Houston, TX, 77054-3141
Phone Number
713-981-5167
Fax Number
713-981-5553
Provider Enumeration Date
06/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
613884700 01 TX US DEPARTMENT OF LABOR
institution
Provider Business Practice Location Address Details
Address
10610 Fondren Rd
City
State
Zip
77096-5422
Phone Number
713-981-5167
Fax Number
713-981-5553
person
Provider Business Mailing Address Details
Address
10610 Fondren Rd
City
State
Zip
77096-5422
Phone Number
713-981-5167
Fax Number
713-981-5553
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
J4168 (Texas)
Definition
Definition to come...
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