Healthcare Provider Details

I. General information

NPI: 1992819601
Provider Name (Legal Business Name): SERENDIPITY MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 01/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2171 SILVER MOON TRL
CROSBY TX
77532-3503
US

IV. Provider business mailing address

PO BOX 58866
WEBSTER TX
77598-8866
US

V. Phone/Fax

Practice location:
  • Phone: 281-338-4000
  • Fax: 281-324-1230
Mailing address:
  • Phone: 281-338-4000
  • Fax: 281-324-6155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MR. DARRELL A GRIFFIN
Title or Position: PRESIDENT
Credential: MD
Phone: 281-324-1230