Individual
BRIAN W GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4606 FOUNTAIN LN., ODESSA, TX 79761
(432) 413-4759
Mailing address
4606 FOUNTAIN LN, ODESSA, TX 79761-1913
(432) 413-4759
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP134648
TX
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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