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Individual

DR. GERALD I GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
540 MADISON OAK, #520, SAN ANTONIO, TX 78258-3943
(210) 490-0202
(210) 490-0648
Mailing address
540 MADISON OAK, #520, SAN ANTONIO, TX 78258-3943
(210) 490-0202
(210) 490-0648

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
D8539
TX
207RG0100X
Gastroenterology Physician
Primary
D8539
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Z000AB485
TX
Enumeration date
05/12/2006
Last updated
09/11/2025
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