Individual
MAYCIE GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2600 COMMERCE WAY, KAUFMAN, TX 75142-7325
(972) 750-3177
Mailing address
PO BOX 1908, GREENVILLE, TX 75403-1908
(903) 454-3025
(903) 450-1408
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP144427
TX
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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