Organization
DANIELLE GARDNER O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE D GARDNER O.D. (OPTOMETRIST/PRESIDENT)
(972) 775-5300
Entity
Organization
Contact information
Practice address
400 N HIGHWAY 67, MIDLOTHIAN, TX 76065-8000
(972) 775-5300
(972) 775-5314
Mailing address
PO BOX 1870, MIDLOTHIAN, TX 76065-1870
(972) 775-5300
(972) 775-5314
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
6582TG
TX
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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