Individual
STEPHANIE SULLIVAN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 790-3311
Mailing address
1411 EAGLE FALLS DR, FRIENDSWOOD, TX 77546-7847
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
1548794936
TX
Other
Enumeration date
04/12/2017
Last updated
08/04/2022
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