Individual
BAILEY GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
618 GROVE PARK LN, MIDLOTHIAN, TX 76065-3867
(940) 367-3685
Mailing address
618 GROVE PARK LN, MIDLOTHIAN, TX 76065-3867
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
936142
TX
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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