Provider Demographics
NPI:1104080365
Name:GRIFFITH, NATALIE CARROLL (DC)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:CARROLL
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 W NEW HOPE DR STE 701
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-6786
Mailing Address - Country:US
Mailing Address - Phone:512-259-7900
Mailing Address - Fax:512-259-7904
Practice Address - Street 1:921 W NEW HOPE DR STE 701
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-6786
Practice Address - Country:US
Practice Address - Phone:512-259-7900
Practice Address - Fax:512-259-7904
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10820111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor