| Griffith Family Health And Convenient Care Center | |
|
3838 West Park Avenue Orange TX 77630-1812 | |
| (409) 886-8700 | |
| Not Available |
| Full Name | Griffith Family Health And Convenient Care Center |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3838 West Park Avenue, Orange, Texas |
| Authorized Official Name and Position | Melana Carol Griffith (OWNER/PROVIDER) |
| Authorized Official Contact | 4098868700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Griffith Family Health And Convenient Care Center 3838 West Park Avenue Orange TX 77630-1812 Ph: (409) 886-8700 | Griffith Family Health And Convenient Care Center 3838 West Park Avenue Orange TX 77630-1812 Ph: (409) 886-8700 |
| NPI Number | 1508049271 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 07/12/2022 |
| Medicare PECOS PAC ID | 4688756513 |
|---|---|
| Medicare Enrollment ID | O20080130000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508049271 | NPI | - | NPPES |
| 1457702540 | Other | TX | INDIVIDUAL NPI |
| 1407871676 | Other | TX | INDIVIDUAL NPI |
| Provider Name | Melana Carol Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407871676 PECOS PAC ID: 1850344912 Enrollment ID: I20050301000591 |
| Provider Name | Amber Renee Peveto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457702540 PECOS PAC ID: 8628357969 Enrollment ID: I20161109002038 |
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