Sean E Green, PA-C

Physician assistant in Canyon, Texas · NPI 1679585517

Sean Green is the only physician assistant we list in Canyon, Texas. See all physician assistants in Texas. Sean Green practices with FMC Medical Foundation, Inc.

Registry record (NPPES)

NPI
1679585517
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
911 23rd St
Canyon, TX 79015-4600
(806) 655-2104
Enumerated
Aug 12, 2006
Record last updated
Aug 22, 2024
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Physician Assistant
Revalidation due
No date set by CMS

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  • Full enrollment history
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Practice locations

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.