Provider Demographics
NPI:1700115565
Name:GRIMALDO, ARTURO (DC)
Entity Type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:
Last Name:GRIMALDO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 E EXPRESSWAY 83
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-4523
Mailing Address - Country:US
Mailing Address - Phone:956-622-6952
Mailing Address - Fax:956-627-6225
Practice Address - Street 1:1002 E EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4523
Practice Address - Country:US
Practice Address - Phone:956-375-6290
Practice Address - Fax:956-627-6225
Is Sole Proprietor?:No
Enumeration Date:2009-12-08
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11328111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX11328OtherSTATE LICENSE NUMBER