Individual
ELIZABETH MARIE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1421 MAIN STREET, SUITE 111, BOERNE, TX 78006-3322
(830) 249-9995
(830) 249-9868
Mailing address
1421 MAIN STREET, SUITE 111, BOERNE, TX 78006-3322
(830) 249-9995
(830) 249-9868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06471
TX
Other
Enumeration date
12/07/2009
Last updated
12/27/2011
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