Grimes, Michelle Mccuan

Grimes, Michelle Mccuan is an individual health care provider with primary practice located at 4315 James Casey St Suite 300, Austin TX 78745-3365. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grimes, Michelle Mccuan can be contacted via phone (512) 444-7944.

Contact Information

Primary practice address
4315 James Casey St Suite 300 Austin TX 78745-3365
Phone: (512) 444-7944
Fax: (512) 444-7946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06528 Texas

Profile Details

NPI number 1578881082
LBN Legal business name Grimes, Michelle Mccuan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2010
Last updated Sep 2nd, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578881082 NPPES
Texas MEDICAID 328317803
Texas MEDICAID 328317804
Texas Other PA06528

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