Individual
JILLIAN GRIMM
Active
Individual
JILLIAN GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
T8550
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
T8550
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10056085
TX
Other
Enumeration date
05/16/2016
Last updated
04/19/2023
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