Individual
SHAWN SPENCER GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6620 MAIN ST, BAYLOR CLINIC 1325, HOUSTON, TX 77030-2348
(713) 798-6376
(713) 798-8131
Mailing address
6620 MAIN ST, BAYLOR CLINIC 1325, HOUSTON, TX 77030-2348
(713) 798-6376
(713) 798-8131
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
48631
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD448650
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Q2138
TX
Other
Enumeration date
02/19/2007
Last updated
11/13/2020
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