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CLARICE LEAVON GRIMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD MPH

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 648-3280
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-7250

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
H8090
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138578311
TX
Enumeration date
04/28/2006
Last updated
11/05/2012
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