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Individual

SYLVIA H. GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
5201 HARRY HINES BLVD, MEDICAL STAFF SERVICES, DALLAS, TX 75235-7708
(214) 590-8006
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
223422
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041523402
TX
05
041523403
TX
05
041523404
TX
05
041523405
TX
05
041523406
TX
05
041523407
TX
05
041523408
TX
05
041523409
TX
05
041523410
TX
05
041523411
TX
05
041523412
TX
Enumeration date
12/21/2006
Last updated
04/06/2009
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