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Individual

DR. JERRY SPEIGHT GRIMES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 4TH STREET STOP 9436, LUBBOCK, TX 79430-9436
(806) 743-4263
(806) 743-4294
Mailing address
3601 4TH STREET STOP 9436, LUBBOCK, TX 79430-9436
(806) 743-4263
(806) 743-4294

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
M1725
TX
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
M1725
TX

Other

Enumeration date
04/05/2006
Last updated
11/09/2021
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