Individual
JAIME GROTHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
725 N GRAHAM ST STE 4, STEPHENVILLE, TX 76401-3133
(254) 965-1156
Mailing address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
V1113
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
10/08/2024
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