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NPI Code Detail

MEDICARE: DR. WAYNE D GREEN M.D.

MEDICARE:  DR. WAYNE D GREEN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianM0738TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114906278
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WAYNE D GREEN M.D.
Provider Business Mailing Address
First Line : 3101 SOUTH 77 SUNSHINE STRIP
Second Line : SUITE A
City : HARLINGEN
State : TX
Zip : 78550-8904
Country : US
Telephone Number : 956-423-1050
Fax Number : 956-423-1585
Provider Business Practice Location Address
First Line : 3101 SOUTH 77 SUNSHINE STRIP
Second Line : SUITE A
City : HARLINGEN
State : TX
Zip : 78550-8904
Country : US
Telephone Number : 956-423-1050
Fax Number : 956-423-1585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2006
Last Update Date : 03/11/2026

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Directions to “ DR. WAYNE D GREEN M.D.” Practice Location

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