Individual
DAVID A. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9696 SKILLMAN ST, SUITE 285, DALLAS, TX 75243-8264
(214) 348-7611
(214) 348-0129
Mailing address
9696 SKILLMAN ST, SUITE 285, DALLAS, TX 75243-8264
(214) 348-7611
(214) 348-0129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K9073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043103305
—
TX
Enumeration date
07/26/2006
Last updated
09/01/2009
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