Green, Robert L.

Green, Robert L. is an individual health care provider with primary practice located at 1400 George Dieter Dr Suite 100, El Paso TX 79936-7601. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Green, Robert L. can be contacted via phone (915) 857-4559.

Contact Information

Primary practice address
1400 George Dieter Dr Suite 100 El Paso TX 79936-7601
Phone: (915) 857-4559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04506 Texas

Profile Details

NPI number 1417967340
LBN Legal business name Green, Robert L.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 1st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417967340 NPPES
Texas Other 8N9774 BC/BS OF TEXAS

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