Dr Jeannine L Griffin, MD | |
1200 North Virginia, Port Lavaca, TX 77979 | |
(361) 552-6721 | |
(361) 552-7463 |
Full Name | Dr Jeannine L Griffin |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1200 North Virginia, Port Lavaca, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700812724 | NPI | - | NPPES |
113513502 | Other | TX | GROUP MEDICAID NUMBER |
118203202 | Medicaid | TX | |
ZOO0H160 | Other | TX | GROUP MEDICARE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G5119 (Texas) | Primary |
Entity Name | Children's Physician Services Of South Texas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568658227 PECOS PAC ID: 3678478872 Enrollment ID: O20040324001704 |
Entity Name | Port Lavaca Clinic Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144262957 PECOS PAC ID: 3971565193 Enrollment ID: O20041101000085 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeannine L Griffin, MD 1200 North Virginia, Port Lavaca, TX 77979 Ph: (361) 552-6721 | Dr Jeannine L Griffin, MD 1200 North Virginia, Port Lavaca, TX 77979 Ph: (361) 552-6721 |
Dr. Marcelina Rupley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1016 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-0325 Fax: 361-500-6904 | |
John William Clinton Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 N Virginia St, Port Lavaca, TX 77979 Phone: 361-522-6721 |