Griffin, Bryan J
Griffin, Bryan J is an individual health care provider with primary practice located at 5405 Plaza Dr , Texarkana TX 75503-1662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Griffin, Bryan J can be contacted via phone (903) 223-5200.Contact Information
Primary practice address
5405 Plaza Dr
Texarkana TX 75503-1662
Phone: (903) 223-5200
Fax: (903) 223-5213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G3413 | Texas |
Profile Details
| NPI number | 1073593026 |
|---|---|
| LBN Legal business name | Griffin, Bryan J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073593026 | NPPES |
| Texas | MEDICAID | 038078402 |
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