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Brandon Grimm D.c. P.a.
Chiropractor in Canyon Lake, Texas
NPI 1619059060

Brandon Grimm D.c. P.a. is a Chiropractor based in Canyon Lake, TX. Brandon Grimm D.c. P.a. practices in Canyon Lake, TX. The NPI Number for Brandon Grimm D.c. P.a. is 1619059060 and holds a License No. 9268 (Texas).

The current practice location address for Brandon Grimm D.c. P.a. is 14812 South Access Road, Canyon Lake, TX and can be reached out via phone at 830-907-3811 and via fax at 830-907-3812.

Location: 14812 South Access Road, Canyon Lake, TX, 78133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619059060
Provider Name
Brandon Grimm D.c. P.a.
Credential
Provider Entity Type
Organization
Address
14812 South Access Road, Canyon Lake, TX, 78133
Phone Number
830-907-3811
Fax Number
830-907-3812
Provider Enumeration Date
10/19/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033146170 01 TX INDIVIDUAL NPI #
8U9450 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
14812 South Access Road
City
Canyon Lake
State
Texas
Zip
78133
Phone Number
830-907-3811
Fax Number
830-907-3812
person
Provider Business Mailing Address Details
Address
14812 South Access Road
City
Canyon Lake
State
Texas
Zip
78133
Phone Number
830-907-3811
Fax Number
830-907-3812
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
9268 (Texas)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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