Organization
DAVID S GARTENBERG MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S GARTENBERG MD (PRESIDENT)
(972) 596-1205
Entity
Organization
Contact information
Practice address
4100 W 15TH ST, SUITE #114, PLANO, TX 75093-5826
(972) 596-1205
Mailing address
4100 W 15TH ST, SUITE #114, PLANO, TX 75093-5826
(972) 596-1205
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E9650
TEXAS MEDICAL LICENSE NUMBER
—
Enumeration date
02/21/2007
Last updated
01/14/2009
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