Individual
HOLLIS A GROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4370 MEDICAL ARTS DR STE 300, FLOWER MOUND, TX 75028-1724
(940) 591-6700
(940) 320-1220
Mailing address
2805 S MAYHILL RD, DENTON, TX 76208-5910
(940) 591-6700
(940) 320-1220
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
550830
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090068004
—
TX
Enumeration date
06/21/2005
Last updated
01/04/2022
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