| Doctor Name: | PATRICIA ANN GROW |
| NPI Number: | 1043416803 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 536866 |
| Business Practice Address: | 301 University Blvd 2240 Gulf Freeway South, Su 2.110 League City Tx 77573 Galveston, TX - 775550737 |
| Business Phone Number: | 8325051700 |
| Business Fax Number: | 2813090147 |
| Mailing Address: | 301 University Blvd, Provider Enrollment -- Rt. 1022 GALVESTON |
| State: | TX |
| Postal Code: | 775551022 |
| Phone Number: | 8325051700 |
| Fax Number: | 2813090147 |
| NPI Enumeration Date: | 06/26/2007 |
| NPI Last Update Date: | 08/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 536866 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |