Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 1572 | TX |
NPI | 1609982867 |
---|---|
Provider Name | Dr. Jeffery M Griert |
First Address | Pearland, TX 77584-0100 |
Second Address | Pearland, TX 77584-0100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 15/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U86346 | (02) | TX |