Organization · Type 2 NPI
D A Gardner, Dpm, PA
Foot & Ankle Surgery Podiatrist · Ennis, TX
NPI number
1093911547
Active
Practice location
2203 West Lampasas, Suite 102
Ennis, TX 75119
Fax (972) 878-3401
Mailing address
1441 Midlothian Pkwy, Suite 120
Midlothian, TX 76065-5591
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 1433 (TX) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1830 (TX) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1093911547
D A Gardner, Dpm, PA's National Provider Identifier is 1093911547, issued on Jun 22, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Ennis, TX. The record was last updated on Sep 24, 2008.