Grooters, Charles

Grooters, Charles is an individual health care provider with primary practice located at 323 E Hawkins Pkwy Ste A , Longview TX 75605-7905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Grooters, Charles can be contacted via phone (903) 758-2746.

Contact Information

Primary practice address
323 E Hawkins Pkwy Ste A Longview TX 75605-7905
Phone: (903) 758-2746
Fax: (903) 758-7127
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Q4967 Texas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 060461 Georgia

Profile Details

NPI number 1124292263
LBN Legal business name Grooters, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2008
Last updated Dec 19th, 2023 - 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 1124292263 NPPES
Texas MEDICAID 350010001
Texas Other Q4967

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