Organization
BRANDON GRIMM D.C. P.A.
Active
Other names
Canyon Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON W GRIMM D.C. (PRESIDENT/OWNER)
(830) 907-3811
Entity
Organization
Contact information
Practice address
14812 SOUTH ACCESS ROAD, CANYON LAKE, TX 78133
(830) 907-3811
(830) 907-3812
Mailing address
14812 SOUTH ACCESS ROAD, CANYON LAKE, TX 78133
(830) 907-3811
(830) 907-3812
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9268
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033146170
INDIVIDUAL NPI #
TX
01
—
8U9450
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/19/2006
Last updated
08/22/2020
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