Provider Demographics
NPI:1871665042
Name:GRIFFIS, CURT GERALD (DPM)
Entity Type:Individual
Prefix:DR
First Name:CURT
Middle Name:GERALD
Last Name:GRIFFIS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 HENDRICKS AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-5217
Mailing Address - Country:US
Mailing Address - Phone:956-727-8605
Mailing Address - Fax:956-727-0652
Practice Address - Street 1:1302 HENDRICKS AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-5217
Practice Address - Country:US
Practice Address - Phone:956-727-8605
Practice Address - Fax:956-727-0652
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0636213E00000X, 213ES0131X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00FA82OtherBCBS
TX00FA82OtherBCBS
TX3965600001Medicare NSC
TX00FA82Medicare PIN