Provider Demographics
NPI:1063305654
Name:VICKNAIR, GRIFFIN (DC)
Entity type:Individual
Prefix:
First Name:GRIFFIN
Middle Name:
Last Name:VICKNAIR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16135 CYPRESS ROSEHILL RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1429
Mailing Address - Country:US
Mailing Address - Phone:281-373-5510
Mailing Address - Fax:281-373-5519
Practice Address - Street 1:16135 CYPRESS ROSEHILL RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1429
Practice Address - Country:US
Practice Address - Phone:281-373-5510
Practice Address - Fax:281-373-5519
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16476111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor