Individual
CLARICE LEAVON GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
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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