Individual
BRENDA K EWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4300 WINDSOR CENTRE TRL STE 200, FLOWER MOUND, TX 75028-1865
(972) 899-8080
(972) 899-1865
Mailing address
4300 WINDSOR CENTRE TRL STE 200, FLOWER MOUND, TX 75028-1865
(972) 899-8080
(972) 899-1865
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H9915
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046030503
—
TX
05
—
046030504
—
TX
Enumeration date
08/16/2006
Last updated
02/15/2022
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