NPI | 1790937738 |
---|---|
Doing Business As | A.W. GRIMES MEDICAL OFFICES |
Entity Type | Organization |
Authorized Contact | PETER C PERIALAS Chief Executive Officer 512-868-1124 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-10-22 |
Last Update Date | 2011-03-03 |