Individual
MR. JOHN K GRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11801 S. FREEWAY, FORT WORTH, TX 76134
(817) 790-7780
Mailing address
PO BOX 32, KEENE, TX 76059-0032
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
F3481
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
F3481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127507503
—
TX
Enumeration date
04/18/2006
Last updated
06/21/2010
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