| NPI | 1508049271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANA CAROL GRIFFITH Owner/Provider 409-886-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: TX 640987) |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2022-07-12 |