Individual
DANIEL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(877) 724-5437
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP10050867
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
6171
OK
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
Q9365
TX
Other
Enumeration date
06/11/2014
Last updated
09/16/2024
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