WESLEY GREEN PHYSICIAN ASSISTANT
Complete NPI Record 1881473635
Physician Assistant in Houston, TX
Active since September 21, 2023PECOS Enrolled
Complete NPI Dataset
This page contains the complete raw NPPES record for Wesley Green, PHYSICIAN ASSISTANT (NPI 1881473635), an individual physician assistant provider in Houston, TX. All 29 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1881473635 Field 1/29
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/29
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: GREEN Field 3/29
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: WESLEY Field 4/29
- The first name of the provider, if the provider is an individual.
- Provider Credential Text: PHYSICIAN ASSISTANT Field 5/29
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider First Line Business Mailing Address: PO BOX 749495 Field 6/29
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: ATLANTA Field 7/29
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: GA Field 8/29
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 303749495 Field 9/29
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 10/29
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 8559632100 Field 11/29
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 8133211296 Field 12/29
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 6621 FANNIN ST Field 13/29
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: HOUSTON Field 14/29
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: TX Field 15/29
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 770302358 Field 16/29
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 17/29
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8328241000 Field 18/29
- The telephone number associated with the location address of the provider being identified.
- Provider Gender Code: M Field 21/29
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 363A00000X Field 22/29
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 23/29
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 363A00000X Field 24/29
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 2: PA17169 Field 25/29
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 2: TX Field 26/29
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 27/29
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: Y Field 28/29
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 18
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
23960 Katy Fwy Ste 325
Location 1/18Katy, TX 77494-0886 · Phone (281) 578-0201 · Fax (281) 578-0217
7121 S. Padre Island Dr Ste 102-101,119
Location 2/18Corpus Christi, TX 78412-4938 · Phone (361) 696-6000 · Fax (361) 992-4120
1920 Country Place Pkwy Ste 370
Location 3/18Pearland, TX 77584-1962 · Phone (832) 333-1400 · Fax (832) 333-1499
3333 Bayshore Blvd Ste 320
Location 4/18Pasadena, TX 77504-1950 · Phone (832) 856-8965 · Fax (832) 856-8966
18955 N Memorial Dr Ste 530
Location 5/18Humble, TX 77338-4269 · Phone (346) 362-1670 · Fax (346) 362-1675
925 Gessner Rd Ste 600&650
Location 6/18Houston, TX 77024-2545 · Phone (713) 827-9525 · Fax (713) 468-3561
2555 Gulf Fwy S Ste 700
Location 7/18League City, TX 77573-6742 · Phone (832) 827-8002 · Fax (832) 827-8003
13215 Dotson Rd Ste 340
Location 8/18Houston, TX 77070-4535 · Phone (281) 477-8600 · Fax (281) 477-8577
1631 North Loop W Ste 410
Location 9/18Houston, TX 77008-1530 · Phone (713) 802-9000 · Fax (713) 802-2701
27700 Northwest Fwy Ste 400&425
Location 10/18Cypress, TX 77433-6766 · Phone (832) 377-3260 · Fax (888) 506-5887
10405 Katy Fwy Ste 150E
Location 11/18Houston, TX 77024-1165 · Phone (713) 722-9660 · Fax (713) 722-9664
802 Enterprise Blvd Ste 808
Location 12/18Rockport, TX 78382-4346 · Phone (361) 696-6000 · Fax (361) 992-4120
11920 Astoria Blvd Ste 150
Location 13/18Houston, TX 77089-6097 · Phone (281) 481-6688 · Fax (281) 481-0870
7789 Southwest Fwy Ste 460
Location 14/18Houston, TX 77074-1841 · Phone (713) 778-0300 · Fax (713) 778-0303
9150 S Main St Suite A3
Location 15/18Houston, TX 77025-3848 · Phone (713) 630-8181 · Fax (713) 838-9708
17520 W Grand Pkwy S Ste 460
Location 16/18Sugar Land, TX 77479-4983 · Phone (281) 491-5511 · Fax (281) 491-5513
2130 W Holcombe Blvd Fl 10
Location 17/18Houston, TX 77030-3306 · Phone (713) 600-0900 · Fax (713) 600-0070
10405 Katy Fwy Ste 120
Location 18/18Houston, TX 77024-1121 · Phone (832) 333-1474 · Fax (832) 333-1475
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