Provider Demographics
NPI:1295810281
Name:GRIGGS, STEPHANIE (NP)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:
Last Name:GRIGGS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13315 BARTON MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-2188
Mailing Address - Country:US
Mailing Address - Phone:281-489-0750
Mailing Address - Fax:
Practice Address - Street 1:5901 WESTHEIMER RD
Practice Address - Street 2:SUITE W
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7634
Practice Address - Country:US
Practice Address - Phone:713-266-7903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX649226363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX15798192OtherTX DRIVERS LICENSE