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Individual

DR. TATE ALEXANDER GRIMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8140 WALNUT HILL LN, SUITE 308, DALLAS, TX 75231-4350
(214) 348-5557
(214) 348-5898
Mailing address
8140 WALNUT HILL LN, SUITE 308, DALLAS, TX 75231-4350
(214) 348-5557
(214) 348-5898

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
K9553
TX
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
K9553
TX

Other

Enumeration date
07/11/2006
Last updated
09/23/2015
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