Griffin, Miles David

Griffin, Miles David is an individual health care provider with primary practice located at 6565 Fannin St Fondren 270, Houston TX 77030-2703. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as his primary health care specialty. Griffin, Miles David can be contacted via phone (713) 441-0006.

Contact Information

Primary practice address
6565 Fannin St Fondren 270 Houston TX 77030-2703
Phone: (713) 441-0006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 661710 Texas

Profile Details

NPI number 1447490289
LBN Legal business name Griffin, Miles David
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2009
Last updated Dec 4th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447490289 NPPES
Texas MEDICAID 203053802
Texas Other 1447490289
Texas MEDICAID 203053804
Texas MEDICAID 203053803
Texas Other 8Y9619

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