Individual
JOHN ROBERT GREEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8300 FLOYD CURL DR FL 3, SAN ANTONIO, TX 78229-3931
(210) 450-9300
(210) 450-6023
Mailing address
8300 FLOYD CURL DR FL 3, SAN ANTONIO, TX 78229-3931
(210) 450-9300
(210) 450-6023
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Q8494
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
Q8494
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231188
L&I
WA
05
—
1184709917
—
WA
01
—
292620
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
361623701
—
TX
01
—
361623702
CSHCN
TX
Enumeration date
10/27/2006
Last updated
04/23/2019
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