| Donald Robert Green, MD | |
|
120 E Beauregard Ave, San Angelo, TX 76903-5919 | |
| (325) 658-1511 | |
| Not Available |
| Full Name | Donald Robert Green |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 120 E Beauregard Ave, San Angelo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851337570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 209854-1 (New York) | Secondary |
| 207L00000X | Anesthesiology | MD2013-0731 (New Mexico) | Secondary |
| 207L00000X | Anesthesiology | T7575 (Texas) | Primary |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Robert Green, MD 1600 North Main, Lovington, NM 88260-2830 Ph: (575) 396-6611 | Donald Robert Green, MD 120 E Beauregard Ave, San Angelo, TX 76903-5919 Ph: (325) 658-1511 |
Robert Hamblen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Jonathan S Gipson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Emily Michelle Dodd, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Dr. Kaylee Waldrep, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 | |
David Allen Vance, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76902 Phone: 325-658-1511 | |
Dr. Marius Vulcan, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-657-5320 | |
Jacob Burton, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-747-1511 |