Provider Demographics
NPI:1528020336
Name:GRIMES, JERRY SPEIGHT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JERRY
Middle Name:SPEIGHT
Last Name:GRIMES
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3601 4TH STREET STOP 9436
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79430-9436
Mailing Address - Country:US
Mailing Address - Phone:806-743-4263
Mailing Address - Fax:806-743-4294
Practice Address - Street 1:3601 4TH STREET STOP 9436
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-9436
Practice Address - Country:US
Practice Address - Phone:806-743-4263
Practice Address - Fax:806-743-4294
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM1725207X00000X, 207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery