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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1447490289 | NPPES |
| Texas | MEDICAID | 203053802 | |
| Texas | Other | 1447490289 | |
| Texas | MEDICAID | 203053804 | |
| Texas | MEDICAID | 203053803 | |
| Texas | Other | 8Y9619 |
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