| David S Gartenberg Mdpa | |
|
4100 W 15th St Suite #114 Plano TX 75093-5826 | |
| (972) 596-1205 | |
| Not Available |
| Full Name | David S Gartenberg Mdpa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4100 W 15th St, Plano, Texas |
| Authorized Official Name and Position | David S Gartenberg (PRESIDENT) |
| Authorized Official Contact | 9725961205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David S Gartenberg Mdpa 4100 W 15th St Suite #114 Plano TX 75093-5826 Ph: (972) 596-1205 | David S Gartenberg Mdpa 4100 W 15th St Suite #114 Plano TX 75093-5826 Ph: (972) 596-1205 |
| NPI Number | 1528103975 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 01/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528103975 | NPI | - | NPPES |
| E9650 | Other | TEXAS MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Texas) | Primary |
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