Individual
MRS. PATRICIA GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
309 N PINE ST # 103, ROANOKE, TX 76262-6637
(817) 366-4562
(682) 831-9979
Mailing address
520 OAK HILLS DR, NEWARK, TX 76071-3144
(817) 366-4562
(682) 831-9979
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99264
TX
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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