Peter Green MD PA

NPI #1891004420 in Burleson, Texas

Provider Information

NPI Number
1891004420
Entity Type
Organization
Organization Name
Peter Green MD PA
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Sep 30, 2010
Last Updated
Sep 30, 2010

Practice Location

Address
11801 SOUTH FWY
Address 2
SUITE 234
State
Texas
ZIP Code
76028-7021
Phone
(817) 293-2944

Authorized Official

Name
DR. PETER GREEN, MD
Title
MD
Phone
(817) 293-2944

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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