Individual
BRIAN B GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 927-1173
Mailing address
1820 PRESTON PARK BLVD, STE 1825, PLANO, TX 75093-5215
(972) 867-7862
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
Q1155
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357901301
—
TX
01
—
357901302
CSHCN
TX
Enumeration date
04/13/2011
Last updated
07/21/2023
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