| Organization Name: | GROVES ENTERPRISES PLLC |
| NPI Number: | 1467761882 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILICIA MARIA GROVES (OWNER) |
| Mailing Address: | 2400 S Cornwell Dr Yukon |
| State: | OK US |
| Postal Code: | 730995804 |
| Phone Number: | 4053504300 |
| Fax Number: | 4053504302 |
| NPI Enumeration Date: | 10/04/2010 |
| NPI Last Update Date: | 03/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |