Individual
JACK GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3006 BIG DIVIDE RD, COPPERAS COVE, TX 76522-3235
(254) 371-5774
Mailing address
3006 BIG DIVIDE RD, COPPERAS COVE, TX 76522-3235
(254) 371-5774
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
05004
TX
Other
Enumeration date
03/04/2017
Last updated
03/04/2017
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