Individual
JIMMY DALE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
9931 HYATT RESORT DR APT 231, SAN ANTONIO, TX 78251-4165
(210) 231-0038
(210) 231-0038
Mailing address
9931 HYATT RESORT DR APT 231, SAN ANTONIO, TX 78251-4165
(210) 231-0038
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
307175
TX
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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