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Mary Katherine Gardner, CPNP-AC
Pediatric Nurse Practitioner in Houston, Texas
NPI 1346647880

Mary Katherine Gardner is a Pediatric Nurse Practitioner based in Houston, TX and is specialized in Pediatrics. Mary Katherine Gardner practices in Houston, TX and has the professional credentials of CPNP-AC. The NPI Number for Mary Katherine Gardner is 1346647880 and holds a License No. 787974 (Texas).

The current practice location address for Mary Katherine Gardner is 1515 Holcombe Blvd, Houston, TX and can be reached out via phone at 713-792-6161.

Location: 1515 Holcombe Blvd, Houston, TX, 77210-4439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346647880
Provider Name
Mary Katherine Gardner
Credential
CPNP-AC
Provider Entity Type
Individual
Gender
Female
Address
1515 Holcombe Blvd, Houston, TX, 77210-4439
Phone Number
713-792-6161
Fax Number
Provider Enumeration Date
11/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340908809 05 TX
8JF130 01 TX BCBS
340908808 05 TX
institution
Provider Business Practice Location Address Details
Address
1515 Holcombe Blvd
City
Houston
State
Texas
Zip
77030-4000
Phone Number
713-792-6161
Fax Number
person
Provider Business Mailing Address Details
Address
1515 Holcombe Blvd
City
Houston
State
Texas
Zip
77030-4000
Phone Number
713-792-6161
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
787974 (Texas)
Definition
Definition to come...
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