Organization
TOWN SQUARE EMERGENCY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GRIMES (CFO)
(615) 551-6611
Entity
Organization
Contact information
Practice address
1600 N 2ND ST, CLINTON, MO 64735-1192
(817) 451-4208
(817) 563-3699
Mailing address
PO BOX 24432, FORT WORTH, TX 76124-1432
(817) 451-4208
(817) 563-3699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
01/27/2023
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