Organization
DARYL A STEWART, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL A STEWART M.D. (OWNER)
(940) 382-7321
Entity
Organization
Contact information
Practice address
3321 COLORADO BLVD, DENTON, TX 76210-6817
(940) 382-7321
(940) 382-5453
Mailing address
3321 COLORADO BLVD, DENTON, TX 76210-6817
(940) 382-7321
(940) 382-5453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L5142
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0047QN
B/C & B/S
TX
01
—
020053480
R.R. MEDICARE
TX
05
—
154102101
—
TX
Enumeration date
07/02/2007
Last updated
01/09/2008
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