DEMETRIS ALLEN GREEN MD
NPI 1669609459
General Practice in Houston, TX

Active since June 18, 2009
10610 FONDREN RD, STE 124, HOUSTON, TX 77096(713) 981-5167(713) 981-5553 Get Directions Write a Review

NPPES record last updated: June 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Demetris Allen Green Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRIS ALLEN GREEN MD (NPI 1669609459) is a healthcare organization registered as a general practice in Houston, Texas and active in the NPI registry since June 2009. The organization lists Demetris Allen Green, Physician, as its authorized official.

NPPES Registry Identity

NPI1669609459
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDEMETRIS ALLEN GREEN MD
Location Address10610 FONDREN RD, STE 124Houston, TX 77096-5422
Mailing Address8299 Cambridge St Apt 1203Houston, TX 77054-3141 · (713) 383-9003
Fax(713) 981-5553
Organization SubpartNo
Authorized OfficialDemetris Allen GreenPhysician · (713) 383-9003
Enumeration DateJune 18, 2009
Last NPPES UpdateJune 22, 2009
NPI 1669609459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in TX · J4168
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
10610 FONDREN RD, Houston, TX 77096

Other Identifiers 1

Other613884700TX · Us Department Of Labor

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
10610 FONDREN RD, SUITE 124
HOUSTON, TX 77096
Chiropractor
10610 FONDREN RD, SUITE 124
HOUSTON, TX 77096

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetris Allen Green MD's NPI number?

The NPI number for Demetris Allen Green MD is 1669609459. It was assigned to this organization in the NPPES registry on June 18, 2009.

Where is Demetris Allen Green MD located?

Demetris Allen Green MD is located at 10610 Fondren Rd Ste 124, Houston, TX 77096. The listed phone number is (713) 981-5167.

What is Demetris Allen Green MD's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Demetris Allen Green MD was last updated on June 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.