Provider Demographics
NPI:1508939034
Name:GRIFFIN, NEAL (DC)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 122080
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-8080
Mailing Address - Country:US
Mailing Address - Phone:817-478-5800
Mailing Address - Fax:817-478-5803
Practice Address - Street 1:4200 SW GREEN OAKS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-4162
Practice Address - Country:US
Practice Address - Phone:817-478-5800
Practice Address - Fax:817-478-5800
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8043111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV03620Medicare UPIN
TX8D1796Medicare ID - Type Unspecified