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NPI Code Detail

MEDICARE: ANGELA H GRIMALDO NP

MEDICARE:   ANGELA H GRIMALDO  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner589102TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285823344
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA H GRIMALDO NP
Provider Business Mailing Address
First Line : 17754 PRESTON RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75252-5638
Country : US
Telephone Number : 214-810-7740
Fax Number : 214-810-7742
Provider Business Practice Location Address
First Line : 17754 PRESTON RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75252-5638
Country : US
Telephone Number : 972-476-9036
Fax Number : 972-476-9926
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2007
Last Update Date : 06/25/2026

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Directions to “ ANGELA H GRIMALDO NP” Practice Location

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