Individual
KIMBERLY D. STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4920 NE STALLINGS DR, NACOGDOCHES, TX 75965-1254
(936) 569-9481
(936) 568-3400
Mailing address
9102 FLOYD CURL DR, SAN ANTONIO, TX 78240-1553
(210) 616-9922
(512) 597-0841
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
M0284
TX
2085R0202X
Diagnostic Radiology Physician
34.016958
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488741YMJM
—
TX
Enumeration date
12/06/2005
Last updated
03/25/2025
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