NPI

Sean E Green

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
PA-C
Type
Individual
Enumeration date
2006-08-12
Last updated
2024-08-22

Specialties

Licenses

License TX
PA01160

Location

Practice location
911 23rd St
City
Canyon TX
Postal code
79015-4600
Phone
(806) 655-2104

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Canyon, TX. 197 records in the public file.

Removal request

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