Healthcare Provider Details

I. General information

NPI: 1154466894
Provider Name (Legal Business Name): SUZEL E GRIFFITHS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUZEL EHRMANN GRIFFITHS

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 S BRAESWOOD STD CLINIC
HOUSTON TX
77030-8861
US

IV. Provider business mailing address

PO BOX 88361 CITY OF HOUSTON HEALTH & HUMAN SERVICES
HOUSTON TX
77288-8861
US

V. Phone/Fax

Practice location:
  • Phone: 713-779-4964
  • Fax: 713-677-7314
Mailing address:
  • Phone: 713-794-9104
  • Fax: 713-798-0803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberF9505
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: