Provider Demographics
NPI:1699514950
Name:GARDUNO FAMILY MEDICINE, P.L.L.C.
Entity type:Organization
Organization Name:GARDUNO FAMILY MEDICINE, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDUNO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:469-871-0265
Mailing Address - Street 1:9925 GILLESPIE DR STE 1300
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-1100
Mailing Address - Country:US
Mailing Address - Phone:469-871-0265
Mailing Address - Fax:469-871-0266
Practice Address - Street 1:9925 GILLESPIE DR STE 1300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-1100
Practice Address - Country:US
Practice Address - Phone:469-871-0265
Practice Address - Fax:469-871-0266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care