Individual
CLAYTON ANDREW GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
590 MEDICAL CENTER RD, ATTN: RESIDENCY CENTER, FORT CAVAZOS, TX 76544-5060
(254) 553-9089
Mailing address
15091 ORRVILLE ST NW, NORTH LAWRENCE, OH 44666-9610
(480) 490-3367
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10091963
TX
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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