Individual
JUSTIN STEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
2901 4TH ST, LONGVIEW, TX 75605-5128
(903) 758-1818
Mailing address
PO BOX 847176, DALLAS, TX 75284-7176
(903) 237-1800
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
4704405482
MI
363LA2100X
Acute Care Nurse Practitioner
740497
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP122586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329656803
—
TX
Enumeration date
11/08/2012
Last updated
03/25/2024
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