Provider Demographics
NPI:1396784492
Name:GRIFFETH, DARWIN I IV (DC)
Entity type:Individual
Prefix:DR
First Name:DARWIN
Middle Name:I
Last Name:GRIFFETH
Suffix:IV
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:546 E SANDY LAKE RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-5786
Mailing Address - Country:US
Mailing Address - Phone:972-393-8067
Mailing Address - Fax:
Practice Address - Street 1:7200 N HIGHWAY 161
Practice Address - Street 2:SUITE 300
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2804
Practice Address - Country:US
Practice Address - Phone:972-755-8119
Practice Address - Fax:214-615-9734
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10065111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W652Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER
TXV05514Medicare UPIN
TX8F3242Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER