IndividualActive
Patrick Green
NPI 1497377642 · Surgical Physician Assistant · Fairview, TX
Provider details
- NPI number
- 1497377642
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11942053-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
371 Oakwood Trl
Fairview, TX 75069-8722
Phone: (214) 926-2341
Approximate (ZIP-level) locationGet directions
Mailing address
371 Oakwood Trl
Fairview, TX 75069-8722
Registry dates
- Enumerated
- 2020-05-11
- Last updated
- 2021-11-02
- Certified
- 2021-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.