Peter Green MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

F8497 Issued in TX

Legal business name

PETER GREEN MD PA

Practice address

11801 South Fwy
Suite 234
Burleson, TX 76028-7021

Phone

(817) 293-2944

Fax

(817) 293-2039

NPI assigned

Sep 30, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter Green, MD

Title

MD

Phone

(817) 293-2944

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1891004420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6337",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761150337",
            "telephone_number": "817-293-2944",
            "fax_number": "817-293-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 SOUTH FWY",
            "address_2": "SUITE 234",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287021",
            "telephone_number": "817-293-2944",
            "fax_number": "817-293-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER GREEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "817-293-2944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "F8497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Perez, FNP-C
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• Perla Dental of Burleson
• Cody Perritt, DDS
• William M Perryman, MD
• Christopher Petr, MD
• Sarah E Petry, PT, DPT, ATC, LAT
• Samantha Pettit, LPC
• Michael Brandon Pettke, DC
• Nancy Kim Pham, DDS

• Primary Care Clinic/Center in Burleson, TX
• Providers in Burleson, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.