Individual
MR. DONALD F GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1140 BUSINESS CENTER DR, STE 550, HOUSTON, TX 77043-2737
(713) 984-8200
(713) 984-1113
Mailing address
1140 BUSINESS CENTER DR, STE 550, HOUSTON, TX 77043-2737
(713) 984-8200
(713) 984-1113
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G5909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00QG37
BCBS
TX
01
—
1043401193
GROUP
TX
05
—
114356202
—
TX
01
—
1174616619
BCBS
TX
01
—
760191917
TAX ID
TX
Enumeration date
10/02/2006
Last updated
12/03/2019
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