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Individual

DONALD A STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 W STATE HIGHWAY 6, STE 105, WACO, TX 76710-5591
(254) 741-6113
(254) 741-6629
Mailing address
601 W STATE HIGHWAY 6, STE 105, WACO, TX 76710-5591
(254) 741-6113
(254) 741-6629

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J1403
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047034601
TX
Enumeration date
08/17/2006
Last updated
03/13/2009
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