Sean E Green is a Physician Assistant in Canyon, Texas. Sean E Green practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sean E Green is 1679585517. The last update date is 2015-12-30.
Sean E Green's current location address is 911 23rd St, Canyon, Texas. You can contact this provider via phone number 8066552104 and fax number 8066550522. The mailing address for Sean E Green is 911 23rd St, Canyon, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sean E Green |
|---|---|
| Address | 911 23rd St, Canyon, Texas |
| Phone Number | 8066552104 |
| Fax Number | 8066550522 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1679585517 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2015-12-30 |
Provider Mailing Address Detail
| Address | 911 23rd St |
|---|---|
| City | Canyon |
| State | Texas (TX) |
| Post Code | 790154600 |
| Phone Number | 8066552104 |
| Fax Number | 8066550522 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA01160 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 129700101 | TX | FIRST CARE | |
| 129700101 | TX | SOUTHWEST LIFE & HEALTH | |
| 8N8379 | TX | BCBS |
Post Comment/ Review Below
What is the Sean E Green's unique identification number?
The Sean E Green has been assigned the NPI (National Provider Identifier) Number 1679585517 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Sean E Green is physically located?
The Sean E Green is physically situated at the following address: 911 23Rd St, Canyon, TX, 790154600.
What is the Sean E Green's area of specialization and corresponding taxonomy classification?
The Sean E Green's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
What is Sean E Green's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sean E Green is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
As of what date were the Sean E Green's details last updated?
The information pertaining to the Sean E Green, including its address, specialty, and other details, was most recently updated on 2015-12-30.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY