Individual provider · NPI-1

Dr. Jordan Bryan Griffin, M.D.

Family Medicine · Texarkana, AR

NPI number1699122648
StatusActive
Last updated in NPPESAug 24, 2026

Details

NPI
1699122648
Entity type
Individual (NPI-1)
Name
Dr. Jordan Bryan Griffin
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 19, 2016
Certification date
Aug 24, 2026
Last updated
Aug 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineW5697TXYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

3417 U Of A Way
Texarkana, AR 71854-1419

Phone 870-779-6064

Mailing address

3417 U Of A Way
Texarkana, AR 71854-1419

Phone 870-779-6000 · Fax 870-779-6055

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