Kathy D. Grove in Odessa, Texas 79761 - Surgery

Kathy D. Grove - NPI 1710912860

Kathy D. Grove is a Surgery in Odessa, Texas 79761, Texas. Kathy D. Grove practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kathy D. Grove is 1710912860. The last update date is 2021-12-29.

Kathy D. Grove's current location address is 500 W Forth St, Odessa, Texas 79761, Texas. You can contact this provider via phone number 4326401184. The mailing address for Kathy D. Grove is 500 W Forth St, Odessa, Texas 79761, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathy D. Grove
Address 500 W Forth St, Odessa, Texas 79761, Texas
Phone Number 4326401184
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1710912860
Provider Enumeration Date 2006-07-11
Last Updated Date 2021-12-29

Provider Mailing Address Detail

Address 500 W Forth St
City Odessa, Texas 79761
State Texas (TX)
Post Code 782151137
Phone Number 4326401184
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No MD60652282
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6678943 TX CIGNA
0097MB TX BLUE CROSS BLUE SHIELD
160045404 TX --
160045402 TX --
3776353 TX AETNA

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FAQs about Kathy D. Grove

What is the unique identifier code issued to Kathy D. Grove by the Centers for Medicare & Medicaid Services (CMS)?

The Kathy D. Grove has been assigned the NPI (National Provider Identifier) 1710912860. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Kathy D. Grove's physical address?

The Kathy D. Grove is physically located at 500 W Forth St, in the city of Odessa, Texas 79761, TX, with the postal code 782151137.

What is Kathy D. Grove'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 Kathy D. Grove is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.

When did the Kathy D. Grove receive its 1710912860?

The Kathy D. Grove was issued its 1710912860 on 2006-07-11, which is the date when the organization was assigned this unique identifier.

As of what date were the Kathy D. Grove's details last updated?

The information pertaining to the Kathy D. Grove, including its address, specialty, and other details, was most recently updated on 2021-12-29.

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