| NPI | 1003176090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JAY GRIMM Member 512-733-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1514) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |