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

Individual provider Physician Assistant · NPI 1205297082

Troy Green, PA-C is a Physician Assistant in Lakeway, Texas. Qualified in 2015, 11 years ago. Practices with Blue Agave Functional Medicine Clinic PLLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 Medical Pkwy Ste 370
Lakeway, TX 78738-1798
Phone: (512) 445-5998
Fax: (512) 443-4388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 213 Heart Dr, Brownsville, TX 78520-3602 — (956) 504-3278

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10544 (TX)

Record details

NPI number1205297082
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 8, 2016
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Blue Agave Functional Medicine Clinic Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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