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Individual

DANIEL LUKE GRIMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ONE BAYLOR PLAZE, SUITE 286A, BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF PATHOLOGY, HOUSTON, TX 77030
(713) 785-8357
Mailing address
PO BOX 4677, HOUSTON, TX 77210-4677
(713) 818-3697

Taxonomy

Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
J2588
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
J2588
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117445002
TX
05
117445004
TX
Enumeration date
04/04/2006
Last updated
04/03/2012
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