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Individual

ALISON E. GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, RN, CNS

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
439989
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
155902301
TX
01
890001266
RR MEDICARE
TX
01
8N3391
BCBS
TX
Enumeration date
10/18/2006
Last updated
09/09/2011
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