Doctor Name: | DR. LARRY GENE GRIFFITH |
NPI Number: | 1558360925 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | D6013 |
Business Practice Address: | 400 W 14th Ave Amarillo, TX - 791014140 |
Business Phone Number: | 8063375006 |
Business Fax Number: | 8063374039 |
Mailing Address: | 400 W 14th Ave, AMARILLO |
State: | TX |
Postal Code: | 791014140 |
Phone Number: | 8063375006 |
Fax Number: | 8063374039 |
NPI Enumeration Date: | 07/19/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D6013 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |