Larry Wayne Groves in Sheppard Afb - Military Health Care Provider
Larry Wayne Groves - NPI 1457558751
Larry Wayne Groves is a Military Health Care Provider in Sheppard Afb, Texas. Larry Wayne Groves practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Larry Wayne Groves is 1457558751. The last update date is 2007-07-09.
Larry Wayne Groves's current location address is 149 Hart St, Sheppard Afb, Texas. You can contact this provider via phone number 9406764274. The mailing address for Larry Wayne Groves is 149 Hart St, Sheppard Afb, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry Wayne Groves |
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Address | 149 Hart St, Sheppard Afb, Texas |
Phone Number | 9406764274 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PT, ATC |
NPI Number Detail
NPI Number | 1457558751 |
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Provider Enumeration Date | 2007-06-29 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 149 Hart St |
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City | Sheppard Afb |
State | Texas (TX) |
Post Code | 763113477 |
Phone Number | 9406764274 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Military Health Care Provider |
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Taxonomy | 171000000X |
Licence No | PT01648 |
Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
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What is the unique 10-digit identification code issued to Larry Wayne Groves by the Centers for Medicare & Medicaid Services?
The Larry Wayne Groves has been assigned the NPI (National Provider Identifier) 1457558751 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Larry Wayne Groves is physically located?
The Larry Wayne Groves is situated at the following address: 149 Hart St, Sheppard Afb, TX 763113477.
What is Larry Wayne Groves's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Larry Wayne Groves is Military Health Care Provider, and the taxonomy classification code that categorizes this area of expertise is 171000000X.
On what date did the Larry Wayne Groves receive the assignment of its 1457558751 from the Centers for Medicare & Medicaid Services?
The Larry Wayne Groves was issued its 1457558751 by the Centers for Medicare & Medicaid Services on 2007-06-29.
When was the information related to Larry Wayne Groves most recently updated or refreshed?
The details pertaining to the Larry Wayne Groves, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
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