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NPI Code Detail

MEDICARE: DR. STEVEN GRIMES

MEDICARE: DR. STEVEN GRIMES
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
1207W00000XOphthalmology PhysicianH2417TX

General Provider Information

NPI Number : 1578553566
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN GRIMES
Provider Business Mailing Address
First Line : 118 ARTILLERY POST RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78234-2633
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 118 ARTILLERY POST RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78234-2633
Country : US
Telephone Number : 210-226-0049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 07/08/2007

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Directions to “ DR. STEVEN GRIMES ” Practice Location

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