Michael Raymond Green
Pediatrician Pediatric Pulmonologist
18104 County Road 134
Flint
, Texas 75762
Michael Raymond Green
Pediatrician Pediatric Pulmonologist
18104 County Road 134
Flint
, Texas 75762
(903) 839-2541
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About
Features
Specialties
- Pediatrician
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Michael Raymond Green
- 18104 County Road 134
- Flint, TX
- Zip : 75762
- Fax : (903) 839-2541
- Phone : (903) 839-2541
Second Address
- Michael Raymond Green
- 18104 County Road 134
- Flint, TX
- Zip : 75762
- Fax : (903) 839-2541
- Phone : (903) 839-2541
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | E4367 | TX |
| Y | 2080P0214X | Pediatric Pulmonologist | E4367 | TX |
National Provider Identifier
| NPI | 1023049715 |
|---|---|
| Provider Name | Michael Raymond Green |
| First Address | Flint, TX 75762 |
| Second Address | Flint, TX 75762 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 09/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 130347107 | (05) | TX |
| 200061430A | (05) | OK |
| 33806578 | (05) | NM |
| F30878 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.