Grimes, Clarice Leavon
Grimes, Clarice Leavon is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Grimes, Clarice Leavon can be contacted via phone (214) 648-3280.Contact Information
Primary practice address
5323 Harry Hines Blvd
Dallas TX 75390-7208
Phone: (214) 648-3280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | H8090 | Texas |
Profile Details
| NPI number | 1083671481 |
|---|---|
| LBN Legal business name | Grimes, Clarice Leavon |
| Credentials | MD MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Nov 5th, 2012 - about 12 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 | 1083671481 | NPPES |
| Texas | MEDICAID | 138578311 |
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