Whalio Doctors

NPI 1669025789

Clarence Peter Green

Practitioner Driver Beaumont, TX

Practice location

Address
2360 S 8th St, Beaumont, TX 77701-6401
Phone
(409) 239-2779
Mailing address
5550 Folsom Dr APT 221, Beaumont, TX 77706-7252

Registered specialties

Driver Primary
Other Service Providers Taxonomy 172A00000X Licence 19195530 (TX)

Registry record

NPI
1669025789
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jul 2019
Record last updated
2 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.