MR. Justin Roger Grimes, CRNA

NPI #1639592967 in San Marcos, Texas

Provider Information

NPI Number
1639592967
Entity Type
Individual
Name
MR. Justin Roger Grimes, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Jan 22, 2014
Last Updated
Oct 28, 2014

Practice Location

Address
1305 WONDER WORLD DR
Address 2
STE 105
State
Texas
ZIP Code
78666-7546
Phone
(512) 353-8161

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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