Individual
MR. CHARLES CLAYTON STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 MCCANN RD APT 3101, LONGVIEW, TX 75605-7836
(601) 919-6620
Mailing address
3100 MCCANN RD APT 3101, LONGVIEW, TX 75605-7836
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218035
TX
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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