Individual
DUWAYNE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1069 COUNTY ROAD 200, WEIMAR, TX 78962-5204
(979) 253-8459
Mailing address
1618 W STATE HIGHWAY 71 # 526, LA GRANGE, TX 78945-5138
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
04055
MD
111N00000X
Chiropractor
Primary
14127
TX
Other
Enumeration date
05/11/2020
Last updated
03/15/2022
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