DANIELLE GARDNER O.D., P.A.
Ambulatory Health at Highway 67, Midlothian, TX

License number
Texas 6582TG
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. DANIELLE D GARDNER O.D.
Title: OPTOMETRIST/PRESIDENT
Phone: (972) 775-5300
Address
Address
400 Highway 67 N, Midlothian, TX 76065
National Provider ID: 1437427010
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DANIELLE GARDNER O.D., PA

PO Box 1870, Midlothian, TX 76065

Doing business as:
Danielle Gardner O.D., PA
Registration:
May 20, 2011
State ID:
0801429069
Business type:
Professional Association
Secretary, Director, Member, President:
Danielle Gardner (Secretary, Director, Member, President)
Agent:
Danielle D Gardner,400 N Hwy 67, Midlothian, TX 76065 (Physical)
TIN:
32044303611

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