Individual ProviderBrian Michael GriffinNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5508 Parkcrest Dr Ste 101, Austin, TX 78731-4908(512) 293-6822PECOS EnrollmentBased on the most recent information from CMS, provider Brian Michael Griffin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:13 AM.Profile DetailsProvider ID1306159652Provider TypeIndividualFull NameGriffin, Brian MichaelTitleDr.CredentialDC,FNP-CGenderMaleSole ProprietorYesEnumeration Date7/15/2010Last Updated1/6/2021Contact InformationPractice LocationPractice Address5508 Parkcrest Dr Ste 101, Austin, TX 78731-4908Phone(512) 293-6822Fax(512) 532-0930Mailing LocationMailing Address5508 Parkcrest Dr Ste 101, Austin, TX 78731-4908Phone(512) 293-6822Fax(512) 532-0930Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP125864TexasCode111N00000XDescriptionChiropractorChiropractic ProvidersLicense11402Texas