Provider Demographics
NPI:1417005828
Name:GREEN, MATTHEW NELSON (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:NELSON
Last Name:GREEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5220 W UNIVERSITY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7402
Mailing Address - Country:US
Mailing Address - Phone:469-800-5100
Mailing Address - Fax:469-800-5110
Practice Address - Street 1:5220 W UNIVERSITY DR STE 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7402
Practice Address - Country:US
Practice Address - Phone:469-800-5100
Practice Address - Fax:469-800-5110
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM7230207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine