| Dr Bryan J Griffin, MD | |
|
5405 Plaza Dr, Texarkana, TX 75503-1662 | |
| (903) 223-5200 | |
| (903) 223-5213 |
| Full Name | Dr Bryan J Griffin |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 44 Years |
| Location | 5405 Plaza Dr, Texarkana, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073593026 | NPI | - | NPPES |
| 038078402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G3413 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Austin Pathology Associates | 7012902539 | 45 |
| Entity Name | Texarkana Gastroenterology Consultants, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477519056 PECOS PAC ID: 0345212817 Enrollment ID: O20040806000580 |
| Entity Name | Austin Pathology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538172028 PECOS PAC ID: 7012902539 Enrollment ID: O20070207000471 |
| Entity Name | The Delta Pathology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548258973 PECOS PAC ID: 4789639089 Enrollment ID: O20200706000599 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryan J Griffin, MD 14275 Midway Rd, Suite 400, Addison, TX 75001-3614 Ph: (903) 223-5200 | Dr Bryan J Griffin, MD 5405 Plaza Dr, Texarkana, TX 75503-1662 Ph: (903) 223-5200 |
Aruna N. Sheth, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5808 Stoneridge Dr, Texarkana, TX 75503 Phone: 903-832-6608 Fax: 903-838-5015 | |
Dr. Jennifer A Mulhollan, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 5405 Plaza Dr, Texarkana, TX 75503 Phone: 903-223-5200 Fax: 903-223-5212 | |
Dr. Robert M Ridout, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-2850 Fax: 903-614-6349 |