NPI age
5 years
Enumerated 2020-10-30
● Active
Type 1 · Individual
Justin Gardner
Gardner is 1 of 1 technician, other providers in Melissa and 1 of 2 in Texas.
Primary specialty
Technician, Other
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2 active technician, other providers in Texas.
NPI age
5 years
↓ 6 yr below median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-10Enumerated in NPPES
2020
2026
Where they practice
Practice location
1103 Bexar Ave
Melissa, TX 754542164
Mailing address
1103 Bexar Ave
Melissa, TX 754542164
Specialties
-
Technician, Other PrimaryNone
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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