Provider Demographics
NPI:1083784748
Name:GREEN, RONALD ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ALAN
Last Name:GREEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5644 WESTHEIMER RD
Mailing Address - Street 2:SUITE 347
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-4002
Mailing Address - Country:US
Mailing Address - Phone:832-407-2276
Mailing Address - Fax:832-201-6777
Practice Address - Street 1:5644 WESTHEIMER RD
Practice Address - Street 2:SUITE 347
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-4002
Practice Address - Country:US
Practice Address - Phone:832-407-2276
Practice Address - Fax:832-201-6777
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2011-03-01
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Provider Licenses
StateLicense IDTaxonomies
TXL6405207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine