| Doctor Name: | JUDITH ELAINE GROS |
| NPI Number: | 1063732402 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 249146 |
| Business Practice Address: | 101 Uhland Rd Suite 107 San Marcos, TX - 786666630 |
| Business Phone Number: | 5123921161 |
| Business Fax Number: | 5123923530 |
| Mailing Address: | Po Box 748, SAN MARCOS |
| State: | TX |
| Postal Code: | 786670748 |
| Phone Number: | 5123921161 |
| Fax Number: | 5123923530 |
| NPI Enumeration Date: | 06/08/2010 |
| NPI Last Update Date: | 06/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 249146 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |