Provider Demographics
NPI:1568593614
Name:GRIMES, LOVE H
Entity Type:Individual
Prefix:
First Name:LOVE
Middle Name:H
Last Name:GRIMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 MILLS RD
Mailing Address - Street 2:1504
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5548
Mailing Address - Country:US
Mailing Address - Phone:281-898-4311
Mailing Address - Fax:
Practice Address - Street 1:5850 SAN FELIPE ST
Practice Address - Street 2:500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-3070
Practice Address - Country:US
Practice Address - Phone:713-706-6180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist