Groom, Hollis A
Groom, Hollis A is an individual health care provider with primary practice located at 4370 Medical Arts Dr Ste 300 , Flower Mound TX 75028-1724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Groom, Hollis A can be contacted via phone (940) 591-6700.Contact Information
Primary practice address
4370 Medical Arts Dr Ste 300
Flower Mound TX 75028-1724
Phone: (940) 591-6700
Fax: (940) 320-1220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 550830 | Texas |
Profile Details
| NPI number | 1104822618 |
|---|---|
| LBN Legal business name | Groom, Hollis A |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jan 4th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104822618 | NPPES |
| Texas | MEDICAID | 090068004 |
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