Individual
MRS. SAMANTHA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
900 8TH AVE, FORT WORTH, TX 76104-3902
(817) 347-1983
Mailing address
PO BOX 55050, LITTLE ROCK, AR 72215-5050
(501) 906-3000
(501) 907-8367
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83665
TX
Other
Enumeration date
09/15/2015
Last updated
04/02/2020
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