Organization
HOLLY S. STEWART, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY S STEWART M.D. (OWNER OPERATOR)
(806) 744-7764
Entity
Organization
Contact information
Practice address
3502 9TH ST, SUITE 360, LUBBOCK, TX 79415-3300
(806) 744-7764
(806) 744-7761
Mailing address
3502 9TH ST, SUITE 360, LUBBOCK, TX 79415-3300
(806) 744-7764
(806) 744-7761
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
J8790
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J8790
STATE MEDICAL LICENSE
TX
Enumeration date
02/01/2007
Last updated
02/15/2008
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