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Kevin Dwight Green, MD
Gastroenterology Physician in Tyler, Texas
NPI 1811900194

Kevin Dwight Green is a Gastroenterology Physician based in Dallas, TX and is specialized in Gastroenterology. Kevin Dwight Green practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Kevin Dwight Green is 1811900194 and holds a License No. G5113 (Texas).

The current practice location address for Kevin Dwight Green is 1720 South Beckham Ave, Tyler, TX and can be reached out via phone at 903-595-5101 and via fax at 903-597-2314.

Location: 1720 South Beckham Ave, Tyler, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811900194
Provider Name
Kevin Dwight Green
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1720 South Beckham Ave, Tyler, TX, 75284-6098
Phone Number
903-595-5101
Fax Number
903-597-2314
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75-2616977-008 01 TX TRICARE
129618812 05 TX
75-2616977-125 01 TX TRICARE
129618808 05 TX
75-2616977-054 01 TX TRICARE
100007934 01 TX RAIL ROAD MEDICARE
8GC722 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
1720 South Beckham Ave
City
Tyler
State
Texas
Zip
75701
Phone Number
903-595-5101
Fax Number
903-597-2314
person
Provider Business Mailing Address Details
Address
1720 South Beckham Ave
City
Tyler
State
Texas
Zip
75701
Phone Number
903-595-5101
Fax Number
903-597-2314
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
G5113 (Texas)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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