Provider Demographics
NPI:1669709432
Name:GRIFFIN, BRANDI ELISABETH (DC)
Entity type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:ELISABETH
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5716 5TH ST
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:77534-9807
Mailing Address - Country:US
Mailing Address - Phone:979-922-1598
Mailing Address - Fax:
Practice Address - Street 1:5716 5TH ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:TX
Practice Address - Zip Code:77534-9807
Practice Address - Country:US
Practice Address - Phone:979-922-1598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-15
Last Update Date:2009-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11273111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor