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

Sean E Green, PA-C

Individual provider Physician Assistant · NPI 1679585517

Sean E Green, PA-C is a Physician Assistant in Canyon, Texas. Qualified in 1992, 34 years ago. Practices with Fmc Medical Foundation, Inc, a 37-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
34
Licensed in
TX
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

911 23rd St
Canyon, TX 79015-4600
Phone: (806) 655-2104
Fax: (806) 655-0522
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01160 (TX)

Record details

NPI number1679585517
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 12, 2006
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address911 23rd St, Canyon, TX 79015-4600

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Fmc Medical Foundation, Inc. — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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