Individual
BEVERLY A GRIMSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6937 N IH35 #200, AUSTIN, TX 78752-1158
(512) 272-4636
(512) 421-4489
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 421-4489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H4362
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080151092
—
TX
05
—
135409405
—
TX
Enumeration date
07/31/2006
Last updated
02/22/2011
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