| Organization Name: | GEORGE P. GRIMES, PHD, PA |
| NPI Number: | 1477990018 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE PERRY GRIMES (PRESIDENT) |
| Mailing Address: | 480 Mariners Dr Kemah |
| State: | TX US |
| Postal Code: | 775652261 |
| Phone Number: | 9794174294 |
| Fax Number: | 2815388069 |
| NPI Enumeration Date: | 05/22/2013 |
| NPI Last Update Date: | 05/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 32666 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |