Individual
MADAI GROHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-2150
Mailing address
2213 OAK MANOR DR, BEDFORD, TX 76021-6054
(469) 855-1512
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP135908
TX
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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