# GARY GRINDSTAFF DPMPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619017050
- **Authorized official:** DR. GARY STEPHEN GRINDSTAFF DPM (OWNER)
- **Authorized official phone:** (915) 845-5000

## Contact information

- **Practice address:** 1721A N LEE TREVINO DR STE 103, EL PASO, TX 79936-4521
- **Practice address phone:** (915) 594-8877
- **Practice address fax:** (915) 591-0615
- **Mailing address:** 1721A N LEE TREVINO DR STE 103, EL PASO, TX 79936-4521
- **Mailing address phone:** (915) 845-5000
- **Mailing address fax:** (915) 845-5003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1465 | TX | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 02/12/2024
