Individual
DR. ROBERT P GREEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
414 NAVARRO ST, SUITE 400, SAN ANTONIO, TX 78205-2516
(210) 223-5561
(210) 223-5093
Mailing address
414 NAVARRO ST, SUITE 400, SAN ANTONIO, TX 78205-2516
(210) 223-5561
(210) 223-5093
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F1603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124472502
—
TX
05
—
124472503
—
TX
01
—
F1603
PHYSICIAN PERMIT
TX
Enumeration date
08/01/2006
Last updated
02/19/2010
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