D a Gardner, DPM, PA

Organization Active NPI Foot & Ankle Surgery Podiatrist · Ennis, TX

NPI 1093911547 · NPPES record last updated Sep 24, 2008

Key facts

NPI
1093911547
Entity type
Organization (NPI type 2)
Primary specialty
Foot & Ankle Surgery Podiatrist 213ES0103X
License
1433 (TX)
Legal business name
D A GARDNER, DPM, PA
Practice address
2203 West Lampasas
Suite 102
Ennis, TX 75119
Phone
(972) 878-3400
Fax
(972) 878-3401
NPI assigned
Jun 22, 2007
Organization subpart
No

Authorized official

Name
Dr. David A Gardner, D.P.M.
Title
President
Phone
(972) 723-5400

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

2203 W Lampasas St
Ste 102
Ennis, TX 75119
Phone (972) 875-6320

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
213ES0103X 1433 TX Yes
Foot & Ankle Surgery Podiatrist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
213ES0103X 1830 TX

Addresses

Primary practice location

2203 West Lampasas
Suite 102
Ennis, TX 75119

Mailing address

1441 Midlothian Pkwy
Suite 120
Midlothian, TX 76065-5591
Phone (972) 723-5400

Other providers in Ennis, TX

All providers in Ennis, TX · Foot & Ankle Surgery Podiatrist in Texas

Sources for this page

Verify at the official NPI Registry.