Individual
MR. JASON DAVID GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
712528
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831420892
—
TX
05
—
200348880A
—
OK
05
—
216658904
—
TX
01
—
8813UB
BCBS
TX
01
—
P00983529
RAILROAD
TX
Enumeration date
01/14/2010
Last updated
06/15/2018
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