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Individual
DR. KYLE GROOM
Active
Individual
DR. KYLE GROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
L5749
TX
207Q00000X
Family Medicine Physician
Primary
L5749
TX
Other
Enumeration date
08/03/2005
Last updated
02/02/2023
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