Individual
DR. JOHN ANTHONY GRISWOLD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-2373
(806) 743-4354
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G1419
TX
2086S0102X
Surgical Critical Care Physician
Primary
G1419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100204440A
—
OK
01
—
114085100
FIRSTCARE COMMERCIAL
TX
05
—
114085101
—
TX
05
—
125354402
—
TX
05
—
125354403
—
TX
01
—
201015993
PRESBYTERIAN COMMERCIAL
NM
05
—
201015993
—
NM
01
—
80840Z
HMO BLUE
TX
01
—
83G204
BC/BS
TX
01
—
A039
TRIWEST
NM
05
—
Y0224
—
NM
Enumeration date
12/02/2005
Last updated
11/23/2021
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