Andrew David Gardner, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

24375 FM 1314 Rd
Porter, TX 77365-4205

Phone

(281) 354-5663

Fax

(281) 354-1995

NPI assigned

Oct 3, 2008

Last updated

Oct 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1427209857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24375 FM 1314 RD",
            "address_2": "PO BOX 734",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773654205",
            "telephone_number": "281-354-5663",
            "fax_number": "281-354-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24375 FM 1314 RD",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773654205",
            "telephone_number": "281-354-5663",
            "fax_number": "281-354-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Felenczak, IMF
• Abel Fernandez
• Ammie Joseph Franklin
• Blanca E Garcia, M.S., CCC-SLP
• Rudy Garcia, LCDC
• Kendal Shay Garza, FNP-C
• Leshequa Gasper Bowles
• John Weldon Gatlin, LCDC
• Rachel M George, RPH
• Daniel Gibson, LAT

• Medical Physician Assistant in Porter, TX
• Providers in Porter, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.