Provider Demographics
NPI:1821102930
Name:GRIFFITH, DONALD PAUL (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:PAUL
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5696 LONGMONT DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-2345
Mailing Address - Country:US
Mailing Address - Phone:713-626-3130
Mailing Address - Fax:713-877-1940
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:UROLOGY SERVICE/OCL
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-794-7742
Practice Address - Fax:713-794-8067
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD0895208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC16318Medicare UPIN
TX8L27592Medicare PIN