Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | BP10053125 | TX |
NPI | 1003293754 |
---|---|
Provider Name | Jennifer Leigh Griesel |
First Address | Cypress, TX 77429-4828 |
Second Address | Edinburg, TX 78539-1404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2015 |
Last Update Date | 01/05/2015 |