Healthcare Provider Details

I. General information

NPI: 1639267248
Provider Name (Legal Business Name): DR. MONICA PATRICIA GRIFFIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 HOLDERRIETH BLVD
TOMBALL TX
77375-6445
US

IV. Provider business mailing address

PO BOX 1568
TOMBALL TX
77377-1568
US

V. Phone/Fax

Practice location:
  • Phone: 281-401-7617
  • Fax: 281-255-3431
Mailing address:
  • Phone: 281-357-4409
  • Fax: 281-255-4461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberL6921
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: