Individual
DAVID GARDINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13201 RANCH ROAD 620 N STE 100 BLDG R, AUSTIN, TX 78717-1028
(512) 336-2020
Mailing address
13201 RANCH ROAD 620 N STE 100 BLDG R, AUSTIN, TX 78717-1028
(512) 336-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5125T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5125T
STATE LICENSE
TX
01
—
W0101075
DPS LICENSE
TX
Enumeration date
09/24/2006
Last updated
03/07/2023
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