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Individual

DR. GLENN A GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7121 S PADRE ISLAND DR, SUITE 310, CORPUS CHRISTI, TX 78412-4938
(361) 985-9500
(361) 985-9506
Mailing address
PO BOX 81476, CORPUS CHRISTI, TX 78468-1476
(361) 985-9500
(361) 985-9506

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H2062
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139021315
TX
Enumeration date
04/26/2006
Last updated
03/27/2012
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