Individual
CAROLYN L GARDINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, 600, HOUSTON, TX 77030-3000
(832) 325-7100
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
(713) 500-6497
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H9941
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135764208
—
TX
05
—
135764209 (MDACC)
—
TX
01
—
8B8755
BCBS
TX
01
—
8DK764
BCBS (MDACC)
TX
Enumeration date
07/17/2006
Last updated
11/29/2012
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