| Nathaniel Griffith, DO PA | |
|
1600 N Lee Trevino Dr Ste C1 El Paso TX 79936-5164 | |
| (915) 599-9993 | |
| (915) 599-9050 |
| Full Name | Nathaniel Griffith, DO PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 N Lee Trevino Dr Ste C1, El Paso, Texas |
| Authorized Official Name and Position | Nathaniel Lee Griffith (PHYSICIAN) |
| Authorized Official Contact | 9155999993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel Griffith, DO PA 1600 N Lee Trevino Dr Ste C1 El Paso TX 79936-5164 Ph: (915) 599-9993 | Nathaniel Griffith, DO PA 1600 N Lee Trevino Dr Ste C1 El Paso TX 79936-5164 Ph: (915) 599-9993 |
| NPI Number | 1699183848 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Medicare PECOS PAC ID | 1850615204 |
|---|---|
| Medicare Enrollment ID | O20150113002349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699183848 | NPI | - | NPPES |
| N1658 | Other | TX | TX MED LIC N1658 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N1658 (Texas) | Primary |
| Provider Name | Nathaniel L Griffith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811918766 PECOS PAC ID: 3779518691 Enrollment ID: I20090114000665 |
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