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NPI Code Detail

MEDICARE: ELIZABETH MARSHALL GRIFFITH

MEDICARE:   ELIZABETH MARSHALL GRIFFITH
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
1101YP2500XProfessional Counselor75321TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
127248TX001000300OTHERCOMMUNITY HEALTH CHOICE

General Provider Information

NPI Number : 1235644741
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MARSHALL GRIFFITH
Provider Business Mailing Address
First Line : 1728 BISSONNET ST
Second Line :
City : HOUSTON
State : TX
Zip : 77005-1710
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1728 BISSONNET ST
Second Line :
City : HOUSTON
State : TX
Zip : 77005-1710
Country : US
Telephone Number : 713-526-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2017
Last Update Date : 12/06/2017

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Directions to “ ELIZABETH MARSHALL GRIFFITH ” Practice Location

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