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Individual

STEPHEN GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
11675 JOLLYVILLE RD, STE 207, AUSTIN, TX 78759-4105
(512) 856-1000
(512) 856-4040
Mailing address
11675 JOLLYVILLE RD, STE 207, AUSTIN, TX 78759-4105
(512) 856-1000
(512) 856-4040

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA04450
TX
363AS0400X
Surgical Physician Assistant
Primary
PA04450
TX

Other

Enumeration date
07/21/2005
Last updated
10/24/2022
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