MEDICARE: DR. JASON SPENCER GRIFFITH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	M3242	TX
2	207VE0102X	Reproductive Endocrinology Physician	M3242	TX

General Provider Information

NPI Number	:	1669482212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON SPENCER GRIFFITH MD

Provider Business Mailing Address
First Line	:	2255 E MOSSY OAKS RD STE 620
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-1812
Country	:	US
Telephone Number	:	346-386-0051
Fax Number	:	346-386-0061

Provider Business Practice Location Address
First Line	:	2255 E MOSSY OAKS RD STE 620
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-1812
Country	:	US
Telephone Number	:	346-386-0051
Fax Number	:	346-386-0061

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	08/19/2024

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