Robert Clark Green
MD | Pediatrics | Male
Robert Clark Green, MD is a Texarkana, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Robert Clark Green is
5002 Cowhorn Creek Rd, Texarkana, Texas - 75503-9766. He can be contacted on phone at
903-614-3000 and fax number 903-614-3525.
Robert Clark Green is a sole proprietor of his business.
NPI number (Unique professional ID) for Robert Clark Green is
1811997729 which was assigned by NPPES on 21 Jul, 2005 and it was last updated on 08 Apr, 2011.
Robert Clark Green license number is
H7153 for Pediatrics (208000000X) in Texas.
Robert Clark Green is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Robert Clark Green basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Robert Clark Green |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Robert Clark Green address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5002 Cowhorn Creek Rd
Texarkana, TX, 75503-9766
United States |
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| Phone Number : | 903-614-3000 |
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| Fax Number : | 903-614-3525 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1811997729 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Jul, 2005 |
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| Last Updated On : | 08 Apr, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert Clark Green are as mentioned. Primary taxonomy code for Robert Clark Green, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | C7275 | AR |
| 208000000X | Pediatrics | Yes | H7153 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Robert Clark Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 117427001 | Other | AR | MEDICAID |
| 110615502 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5002 Cowhorn Creek Rd
Texarkana, TX, 75503-9766
United States |
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| Phone Number : | 903-614-3000 |
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| Fax Number : | 903-614-3525 |
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Business Location:
Patients can refer following map for directions to
Robert Clark Green practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.