Provider Demographics
NPI:1811681034
Name:GRISWOLD MEDICAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:GRISWOLD MEDICAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRISWOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-594-8496
Mailing Address - Street 1:6620 CYPRESSWOOD DR STE 110
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7748
Mailing Address - Country:US
Mailing Address - Phone:281-376-2225
Mailing Address - Fax:832-843-6921
Practice Address - Street 1:6620 CYPRESSWOOD DR STE 110
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7748
Practice Address - Country:US
Practice Address - Phone:281-376-2225
Practice Address - Fax:832-843-6921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty