Gardner, Brenda S
Gardner, Brenda S is an individual health care provider with primary practice located at 5283 Old Brownsville Rd ., Corpus Christi TX 78405-3908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gardner, Brenda S can be contacted via phone (361) 806-5600.Contact Information
Primary practice address
5283 Old Brownsville Rd .
Corpus Christi TX 78405-3908
Phone: (361) 806-5600
Fax: (361) 806-5601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L1858 | Texas |
Profile Details
| NPI number | 1003889619 |
|---|---|
| LBN Legal business name | Gardner, Brenda S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Feb 5th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003889619 | NPPES |
| Texas | MEDICAID | 148208502 |
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