Individual
CARLYLE ANDERSON STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6124 W PARKER RD STE 338, PLANO, TX 75093-8124
(972) 981-7210
(972) 981-7211
Mailing address
6124 W PARKER RD STE 338, PLANO, TX 75093-8124
(972) 981-7210
(972) 981-7211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G4057
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0985202-03
—
TX
01
—
8R1950
BCBS
TX
Enumeration date
08/21/2006
Last updated
08/01/2014
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