Individual
DONALD ROBERT GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 658-1511
Mailing address
1600 NORTH MAIN, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
209854-1
NY
207L00000X
Anesthesiology Physician
MD2013-0731
NM
207L00000X
Anesthesiology Physician
Primary
T7575
TX
Other
Enumeration date
06/21/2006
Last updated
10/13/2022
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