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Individual

DR. MOYA MAUREEN GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12221 RENFERT WAY, SUITE 300, AUSTIN, TX 78758-5444
(512) 873-8900
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L1874
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144653603
TX
05
144653604
TX
Enumeration date
01/11/2006
Last updated
04/09/2015
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