Individual
DR. DAVID M. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K2477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050069932
RAIL ROAD MEDICARE
TX
05
—
103563602
—
TX
05
—
103563603
—
TX
05
—
103563604
—
TX
01
—
8021J4
BLUE CROSS PROVIDER ID
TX
01
—
8AW303
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/11/2006
Last updated
04/30/2020
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