Individual
GEORGE PERRY GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
480 MARINERS DR, KEMAH, TX 77565-2261
(979) 417-4294
(281) 538-8069
Mailing address
480 MARINERS DR, KEMAH, TX 77565-2261
(979) 417-4294
(281) 538-8069
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025614102
—
TX
05
—
025614103
—
TX
01
—
87127A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/29/2006
Last updated
05/20/2013
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