Bradley R Grimsley, MD
in Dallas, TX. Individual provider (NPI-1).
NPI number1609830009
StatusActive
Last updated in NPPESSep 1, 2022
Details
- NPI
- 1609830009
- Entity type
- Individual (NPI-1)
- Name
- Bradley R Grimsley
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2006
- Certification date
- Sep 1, 2022
- Last updated
- Sep 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | K8184 | TX | Yes | |
| 174400000X | Specialist | K8184 | TX |
Practice location
621 N Hall StSte 100
Dallas, TX 75226-1339
Phone 214-821-9600 · Fax 214-823-5449
Mailing address
621 N Hall StSte 100
Dallas, TX 75226-1339
Phone 214-821-9600 · Fax 214-823-5449
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