Individual
DR. DOUGLAS J GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7700 CAT HOLLOW DRIVE, SUITE 102, ROUND ROCK, TX 78681-4068
(512) 733-8600
(512) 733-8602
Mailing address
7700 CAT HOLLOW DRIVE, SUITE 102, ROUND ROCK, TX 78681-4068
(512) 733-8600
(512) 733-8602
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1514
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038430701
—
TX
01
—
8A2740
BLUECROSS/BLUESHIELD
TX
Enumeration date
07/07/2006
Last updated
05/27/2008
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