Organization
DAVID GARDNER, DPM, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALAN GARDNER DPM (PRESIDENT)
(972) 723-5400
Entity
Organization
Contact information
Practice address
1441 S MIDLOTHIAN PKWY, SUITE 120, MIDLOTHIAN, TX 76065-5591
(972) 723-5400
(972) 723-5401
Mailing address
1441 S MIDLOTHIAN PKWY, SUITE 120, MIDLOTHIAN, TX 76065-5591
(972) 723-5400
(972) 723-5401
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153605402
—
TX
Enumeration date
05/30/2008
Last updated
05/30/2008
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