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Contact Information

JUDITH L GRIMES
1706 STANLEY RD
SUITE 91
FORT SAM HOUSTON, TX78234-7648
 Phone: 210-295-7618
 Fax: 210-295-7523
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for JUDITH L GRIMES · (Female)

NPI Number 1841443876
Status Active
Credentials
Entity Individual
Enumeration date 11/04/2008
Last updated 11/04/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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