Provider Demographics
NPI:1871551671
Name:GRIFFITH, DOUGLAS (MPAS, PA-C)
Entity type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:MPAS, PA-C
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Mailing Address - Street 1:DALHART FAMILY MEDICINE CLINIC
Mailing Address - Street 2:206 EAST 16TH STREET
Mailing Address - City:DALHART
Mailing Address - State:TX
Mailing Address - Zip Code:79022-4802
Mailing Address - Country:US
Mailing Address - Phone:806-244-5668
Mailing Address - Fax:806-244-5912
Practice Address - Street 1:DALHART FAMILY MEDICINE CLINIC
Practice Address - Street 2:206 EAST 16TH STREET
Practice Address - City:DALHART
Practice Address - State:TX
Practice Address - Zip Code:79022-4802
Practice Address - Country:US
Practice Address - Phone:806-244-5668
Practice Address - Fax:806-244-5912
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2023-03-07
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
1056838OtherNCCPA
TXPA04944OtherTEXAS MEDICAL BOARD
TXF0165324OtherTEXAS DPS
TXF0165324OtherTEXAS DPS