Individual provider · Type 1 NPI

Cole Ivan Grimes, DO

Military Health Care Provider · Fort Sam Houston, TX

NPI number 1710766944 Active · reactivated Aug 10, 2026

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Call (210) 916-7500 Map

Mailing address

1614 Rainy Brk
Schertz, TX 78154-3067

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1710766944

Cole Ivan Grimes, DO's National Provider Identifier is 1710766944, issued on Sep 26, 2023. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Aug 12, 2026.