Provider Demographics
NPI:1952509887
Name:GRIFFIN, DAVID WALTER (ATC, LAT, MED)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:WALTER
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:ATC, LAT, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10214 PEARL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-7175
Mailing Address - Country:US
Mailing Address - Phone:281-897-8804
Mailing Address - Fax:
Practice Address - Street 1:7600 SOLOMON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-2134
Practice Address - Country:US
Practice Address - Phone:713-896-3432
Practice Address - Fax:713-849-6749
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT03522255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer