Provider Demographics
NPI:1609821719
Name:FRED E GRIFFITHS
Entity Type:Organization
Organization Name:FRED E GRIFFITHS
Other - Org Name:HOUSE CALL DOCTORS TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:E
Authorized Official - Last Name:GRIFFITHS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-288-0859
Mailing Address - Street 1:6200 READVILL COURT
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78739
Mailing Address - Country:US
Mailing Address - Phone:512-288-0859
Mailing Address - Fax:512-301-4821
Practice Address - Street 1:6200 READVILL CT
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78739-1703
Practice Address - Country:US
Practice Address - Phone:512-288-0859
Practice Address - Fax:512-301-4821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00673RMedicare PIN