Organization
KID FRIENDLY PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EWA K STEWART M.D. (PHYSICIAN)
(214) 762-7109
Entity
Organization
Contact information
Practice address
2376 LAVON DR STE 130, GARLAND, TX 75040-9001
(972) 496-6633
Mailing address
2376 LAVON DR STE 130, GARLAND, TX 75040-9001
(972) 496-6633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K9430
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369997701
—
TX
Enumeration date
03/02/2017
Last updated
09/14/2017
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