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Organization

D A GARDNER, DPM, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID A GARDNER D.P.M. (PRESIDENT)
(972) 723-5400
Entity
Organization

Contact information

Practice address
2203 WEST LAMPASAS, SUITE 102, ENNIS, TX 75119
(972) 878-3400
(972) 878-3401
Mailing address
1441 MIDLOTHIAN PKWY, SUITE 120, MIDLOTHIAN, TX 76065-5591
(972) 723-5400
(972) 723-5401

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1433
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1830
TX

Other

Enumeration date
06/22/2007
Last updated
09/24/2008
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