Organization
PETER GREEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER GREEN MD (MD)
(817) 293-2944
Entity
Organization
Contact information
Practice address
11801 SOUTH FWY, SUITE 234, BURLESON, TX 76028-7021
(817) 293-2944
(817) 293-2039
Mailing address
PO BOX 6337, FORT WORTH, TX 76115-0337
(817) 293-2944
(817) 293-2039
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
F8497
TX
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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