Individual
BETHANY MARIE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6210 VIRGINIA PKWY, MCKINNEY, TX 75071-5504
(972) 548-5377
Mailing address
6210 VIRGINIA PKWY, MCKINNEY, TX 75071-5504
(972) 548-5377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1295303
ND
363A00000X
Physician Assistant
Primary
PA11052
TX
Other
Enumeration date
02/18/2016
Last updated
02/07/2022
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