Grimes, Jill Ann
Grimes, Jill Ann is an sole proprietor health care provider with primary practice located at 5656 Bee Cave Rd Ste E200 , West Lake Hills TX 78746-5035. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Grimes, Jill Ann can be contacted via phone (512) 328-8880.Contact Information
Primary practice address
5656 Bee Cave Rd Ste E200
West Lake Hills TX 78746-5035
Phone: (512) 328-8880
Fax: (512) 328-8933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J2163 | Texas |
Profile Details
| NPI number | 1952312811 |
|---|---|
| LBN Legal business name | Grimes, Jill Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952312811 | NPPES |
| Texas | Other | J2163 | LICENSE NUMBER |
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