Individual ProviderStephen GriffinPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address11675 Jollyville Rd, Ste 207, Austin, TX 78759-4105(512) 856-1000PECOS EnrollmentBased on the most recent information from CMS, provider Stephen Griffin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1700885654Provider TypeIndividualFull NameGriffin, StephenCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date7/21/2005Last Updated10/24/2022Contact InformationPractice LocationPractice Address11675 Jollyville Rd, Ste 207, Austin, TX 78759-4105Phone(512) 856-1000Fax(512) 856-4040Mailing LocationMailing Address11675 Jollyville Rd, Ste 207, Austin, TX 78759-4105Phone(512) 856-1000Fax(512) 856-4040Provider TaxonomiesCodeDescriptionLicenseCode363AS0400XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA04450TexasCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA04450Texas