Individual
CAROL GRINNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1400 N IH 35 FL 3, AUSTIN, TX 78701-1926
(512) 415-6908
Mailing address
8811 TERESINA DR, AUSTIN, TX 78749-4962
(512) 415-6908
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
565345
TX
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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