Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Demetris Allen Green Sr., MD

Individual provider General Practice Physician · NPI 1699973420

Dr. Demetris Allen Green Sr., MD is a General Practice in Houston, Texas. Graduated from Baylor College of Medicine in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
34
Trained at
Baylor College of Medicine
Licensed in
TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2646 S Loop W Ste 440
Houston, TX 77054-2665
Phone: (713) 808-9658
Fax: (281) 501-3075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence J4168 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence J4168 (TX)

Record details

NPI number1699973420
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 3, 2007
Last updated in NPPESAugust 5, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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