Provider Demographics
NPI:1225014707
Name:GRIFFIN, JAMES PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PATRICK
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 WILLIS AVE
Mailing Address - Street 2:PO BOX 250
Mailing Address - City:NAPLES
Mailing Address - State:TX
Mailing Address - Zip Code:75568-5870
Mailing Address - Country:US
Mailing Address - Phone:903-897-5684
Mailing Address - Fax:903-897-5339
Practice Address - Street 1:101 WILLIS AVE
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:TX
Practice Address - Zip Code:75568-5870
Practice Address - Country:US
Practice Address - Phone:903-897-5684
Practice Address - Fax:903-897-5339
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9504207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD49648Medicare UPIN