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NPI Code Detail

MEDICARE: MEREDITH GARDNER

MEDICARE: MEREDITH GARDNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner1169485TX

General Provider Information

NPI Number : 1437976545
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH GARDNER
Provider Business Mailing Address
First Line : 3600 GASTON AVE STE 960
Second Line :
City : DALLAS
State : TX
Zip : 75246-1909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3600 GASTON AVE STE 960
Second Line :
City : DALLAS
State : TX
Zip : 75246-1909
Country : US
Telephone Number : 214-820-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2024
Last Update Date : 09/23/2024

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Directions to “ MEREDITH GARDNER ” Practice Location

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