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Dr. Demetris Allen Green SR., MD
Family Medicine Physician in Houston, Texas
NPI 1699973420

Demetris Allen Green SR. is a Family Medicine Physician based in Houston, TX. Demetris Allen Green SR. practices in Houston, TX and has the professional credentials of MD. The NPI Number for Demetris Allen Green SR. is 1699973420 and holds a License No. J4168 (Texas).

The current practice location address for Demetris Allen Green SR. is 2646 S Loop W, Houston, TX and can be reached out via phone at 713-808-9658 and via fax at 281-501-3075.

Location: 2646 S Loop W, Houston, TX, 77054-2665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699973420
Provider Name
Demetris Allen Green SR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2646 S Loop W, Houston, TX, 77054-2665
Phone Number
713-808-9658
Fax Number
281-501-3075
Provider Enumeration Date
07/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2817272 05 TX
institution
Provider Business Practice Location Address Details
Address
2646 S Loop W
City
Houston
State
Texas
Zip
77054-2665
Phone Number
713-808-9658
Fax Number
281-501-3075
person
Provider Business Mailing Address Details
Address
2646 S Loop W
City
Houston
State
Texas
Zip
77054-2665
Phone Number
713-808-9658
Fax Number
281-501-3075
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
J4168 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
J4168 (Texas)
Definition
Definition to come...
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