Organization
FOOT AND SHOE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS JAY GRIMM DPM (MEMBER)
(512) 733-8600
Entity
Organization
Contact information
Practice address
7700 CAT HOLLOW DR STE 102, ROUND ROCK, TX 78681-5797
(512) 733-8600
(512) 733-8602
Mailing address
4000 CLOUDY RIDGE RD, AUSTIN, TX 78734-2043
(512) 733-8600
(512) 733-8602
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1514
TX
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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