| 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 |