Individual
MARTHA A GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6200 W PARKER RD, PLANO, TX 75093-7939
(972) 981-8000
Mailing address
PO BOX 8549, FORT WORTH, TX 76124-0549
(817) 451-4208
(817) 563-3699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K6780
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063EK
BCBS
TX
05
—
130582303
—
TX
Enumeration date
05/28/2006
Last updated
03/28/2013
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