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NPI Code Detail

MEDICARE: DR. LAURA JANE GRIFFIN NP

MEDICARE: DR. LAURA JANE GRIFFIN NP
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
1363LA2100XAcute Care Nurse Practitioner661849TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28N8373OTHERTXBLUECROSS BLUE SHIELD TX

General Provider Information

NPI Number : 1881691483
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA JANE GRIFFIN NP
Provider Business Mailing Address
First Line : 3035 REINDEER RUN
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-2661
Country : US
Telephone Number : 281-778-5370
Fax Number :
Provider Business Practice Location Address
First Line : 16655 SOUTHWEST FWY
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2329
Country : US
Telephone Number : 281-274-7958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 06/16/2011

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