| A.w. Grimes Medical Offices | |
|
2051 Gattis School Rd Suite 250 Round Rock TX 78664-7441 | |
| (877) 800-5722 | |
| (512) 238-5492 |
| Full Name | A.w. Grimes Medical Offices |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2051 Gattis School Rd, Round Rock, Texas |
| Authorized Official Name and Position | Peter C Perialas (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5128681124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A.w. Grimes Medical Offices 205 E University Ave Suite 200 Georgetown TX 78626-6814 Ph: (512) 868-1124 | A.w. Grimes Medical Offices 2051 Gattis School Rd Suite 250 Round Rock TX 78664-7441 Ph: (877) 800-5722 |
| NPI Number | 1790937738 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 03/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790937738 | NPI | - | NPPES |
| 206351301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
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