Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Patrick Green

Individual provider Surgical Physician Assistant · NPI 1497377642

Patrick Green is a Physician Assistant in Fairview, Texas. Qualified in 2020, 6 years ago. Practices with University of Utah Surgical Services, a 43-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020

Practice location Address checks out

371 Oakwood Trl
Fairview, TX 75069-8722
Phone: (214) 926-2341
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 11942053-1206 (UT)

Record details

NPI number1497377642
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 11, 2020
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021
Mailing address371 Oakwood Trl, Fairview, TX 75069-8722

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Of Utah Surgical Services — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare