MEDICARE: GRIFFIN PEDIATRICS, PLLC

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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1730968819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRIFFIN PEDIATRICS, PLLC

Provider Business Mailing Address
First Line	:	300 N HIGHLAND AVE STE 500
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-7319
Country	:	US
Telephone Number	:	903-957-0302
Fax Number	:	903-893-6762

Provider Business Practice Location Address
First Line	:	300 N HIGHLAND AVE STE 500
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-7319
Country	:	US
Telephone Number	:	903-957-0302
Fax Number	:	903-893-6762

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	KAYLENE SUE DUNN GRIFFIN
Credential	:	MD
Telephone Number	:	903-957-0302

Provider Enumeration Date	:	09/27/2023
Last Update Date	:	04/15/2026

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