Individual
MRS. JENNIFER L. GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., O.T.R
Contact information
Practice address
7007 N 10TH ST, MCALLEN, TX 78504-3104
(956) 611-0475
(956) 661-0482
Mailing address
7007 N 10TH ST, MCALLEN, TX 78504-3104
(956) 611-0475
(956) 661-0482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
102880
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143404501
—
TX
01
—
742965954
FACILITY TAX ID NO.
TX
Enumeration date
11/22/2006
Last updated
05/09/2017
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