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Individual

DR. HERMAN H GROTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D

Contact information

Practice address
9009 GATEWAY BLVD S, EL PASO, TX 79904-1215
(915) 751-7760
(915) 751-2376
Mailing address
7600 BIG BEND DR, EL PASO, TX 79904-3500
(915) 755-6064

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2339T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P082961E7
TX
Enumeration date
09/06/2006
Last updated
12/03/2007
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