JUSTIN ROGER GRIMES

SAN MARCOS, TX
NPI1639592967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  744531)
Enumeration Date2014-01-22
Last Update Date2014-10-28
Business Address
Mr. JUSTIN ROGER GRIMES CRNA
1305 WONDER WORLD DR STE 105
SAN MARCOS, TX 78666-7546
Phone number: 512-353-8161
Mailing Address
Mr. JUSTIN ROGER GRIMES CRNA
2804 W BIDDISON ST
FORT WORTH, TX 76109-3039
Phone number: 806-928-5053
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