Individual
TRENTON GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 MADISON AVE, ABILENE, TX 79601-2049
(325) 262-1779
Mailing address
2450 MADISON AVE, ABILENE, TX 79601-2049
(325) 262-1779
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34829538
DRIVER LICENSE
TX
Enumeration date
04/23/2018
Last updated
04/23/2018
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