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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104822618 NPPES
Texas MEDICAID 090068004

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