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Organization

GRIMES ANESTHESIA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN ROGER GRIMES CRNA (PRESIDENT)
(806) 928-5053
Entity
Organization

Contact information

Practice address
710 GASLIGHT BLVD STE A, LUFKIN, TX 75904-3187
(806) 928-5053
Mailing address
324 EAGLE CREEK DR, LUFKIN, TX 75901-1385
(806) 928-5053

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
02/25/2025
Last updated
02/25/2025
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