Grimson, Misti

Grimson, Misti is an individual health care provider with primary practice located at 4001 Worth St , Dallas TX 75246-1608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Grimson, Misti can be contacted via phone (214) 828-1745.

Contact Information

Primary practice address
4001 Worth St Dallas TX 75246-1608
Phone: (214) 828-1745
Fax: (214) 828-1734
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35082326G Ohio

Profile Details

NPI number 1619960127
LBN Legal business name Grimson, Misti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Feb 24th, 2011 - about 15 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 1619960127 NPPES
Ohio MEDICAID 2426539
Ohio MEDICAID 198362901
Ohio Other 8BN462

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