MEDICARE: STEPHANIE SULLIVAN GARDNER M.D.

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
1	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	1548794936	TX

General Provider Information

NPI Number	:	1548794936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE SULLIVAN GARDNER M.D.

Provider Business Mailing Address
First Line	:	1411 EAGLE FALLS DR
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-7847
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24518 NORTHWEST FWY STE 275
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-2344
Country	:	US
Telephone Number	:	346-618-4100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2017
Last Update Date	:	06/02/2026

Similar Medicare Providers

1326488123 — DR. MARCEL WILEY M.D.
Practice Location Address:

24518 NORTHWEST FWY STE 275
CYPRESS, TX
77429-2344

Practice Phone: 346-618-4100
Practice Fax: 346-618-4101

1013962810 — DR. STACY ANNE BACON M.D.
Practice Location Address:

21212 NORTHWEST FWY STE 605
CYPRESS, TX
77429-5889

Practice Phone: 281-955-7577
Practice Fax: 281-955-5875

1649697012 — HANNA HUH MD
Practice Location Address:

13215 GRANT RD STE 100
CYPRESS, TX
77429-0002

Practice Phone: 281-374-7457
Practice Fax:

1649890732 — WADE NICOLAS KARAM MD
Practice Location Address:

21216 NORTHWEST FWY STE 620
CYPRESS, TX
77429-4699

Practice Phone: 281-807-4380
Practice Fax: 833-521-2189

1902216740 — RUSSELL PHILIP LIBBY MD
Practice Location Address:

24518 NORTHWEST FWY , MEDICAL OFFICE BUILDING 2, SUITE 445
CYPRESS, TX
77429-2904

Practice Phone: 404-909-5591
Practice Fax:

1669340543 — RIVERSTONE UROLOGY SPECIALISTS PLLC
Practice Location Address:

24518 NORTHWEST FWY , MEDICAL OFFICE BUILDING 2, SUITE 445
CYPRESS, TX
77429-2904

Practice Phone: 404-909-5591
Practice Fax:

Directions to “ STEPHANIE SULLIVAN GARDNER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.