Provider Demographics
NPI:1598857856
Name:GRIFFIS, DON MARLIN (DC)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:MARLIN
Last Name:GRIFFIS
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 1:128 E 6TH ST
Mailing Address - Street 2:STE. B
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75060-4114
Mailing Address - Country:US
Mailing Address - Phone:972-438-5086
Mailing Address - Fax:972-554-6989
Practice Address - Street 1:128 E 6TH ST
Practice Address - Street 2:STE. B
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75060-4114
Practice Address - Country:US
Practice Address - Phone:972-438-5086
Practice Address - Fax:972-554-6989
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6297111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC06040876Medicaid
TX604087Medicare ID - Type UnspecifiedNON-PARTICIPATING