Green, Roddy D
Green, Roddy D is an individual health care provider with primary practice located at 100 Bourland Rd Ste 100 , Keller TX 76248-3591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Green, Roddy D can be contacted via phone (817) 379-5100.Contact Information
Primary practice address
100 Bourland Rd Ste 100
Keller TX 76248-3591
Phone: (817) 379-5100
Fax: (817) 379-0479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L6054 | Texas |
Profile Details
| NPI number | 1801821780 |
|---|---|
| LBN Legal business name | Green, Roddy D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Feb 23rd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801821780 | NPPES |
| Texas | MEDICAID | 170258105 | |
| Texas | MEDICAID | 170258101 | |
| Texas | MEDICAID | 170258102 |
Popular Providers
-
Taki, James A
620 S Main St Suite 240, Keller TX 76248-4960 -
Eliason, Howard J
1608 Greenhill Ct , Keller TX 76248-5454 -
Fuller, Gregory Michael
300 North Rufe Snow Dr , Keller TX 76248 -
Lopez, Ana I.
601 S Main St , Keller TX 76248-7029 -
Tran, Yun Tzu
8553 N. Beach St Pmb 379 , Keller TX 76244 -
Tolar, Roger L
100 Bourland Rd Ste 170 , Keller TX 76248-3592 -
Liu, Kevin
601 S Main St Suite 200, Keller TX 76248-7029 -
Buffington, Ryan
1141 Keller Pkwy Ste B , Keller TX 76248-1628