Individual
PROF. MILES DAVID GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
6565 FANNIN ST, FONDREN 270, HOUSTON, TX 77030-2703
(713) 441-0006
Mailing address
6565 FANNIN, FONDREN 270, HOUSTON, TX 77030
(713) 441-0006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP117811
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
661710
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
AP117811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447490289
BLUE CROSS BLUE SHIELD
TX
05
—
203053802
—
TX
05
—
203053803
—
TX
05
—
203053804
—
TX
01
—
8Y9619
BCBSTX
TX
Enumeration date
03/05/2009
Last updated
04/14/2026
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