Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0207X | Pediatric Hematology-Oncologist | 01062648A | IN |
N | 2080P0207X | Pediatric Hematology-Oncologist | 4301097594 | MI |
Y | 2080P0207X | Pediatric Hematology-Oncologist | H9337 | TX |
NPI | 1093811572 |
---|---|
Provider Name | Dr. Timothy Cameron Griffin |
First Address | San Antonio, TX 78207-3154 |
Second Address | San Antonio, TX 78207-3108 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 05/02/2015 |