Individual
ANTHONY GARDEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H5443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19627
CARELINK
TX
01
—
8G8249
BCBS
TX
01
—
S0079054
DPS REGISTRATION
TX
Enumeration date
08/24/2006
Last updated
03/07/2023
Update your record
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