Individual
ROGER G STUART JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 N JEFFERSON AVE, STE 202, MT PLEASANT, TX 75455-2371
(903) 572-1903
Mailing address
2001 N JEFFERSON AVE, STE 202, MT PLEASANT, TX 75455-2371
(903) 572-1903
(903) 572-1996
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
F2467
TX
208800000X
Urology Physician
ME144511
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111208700
—
FL
01
—
N4476
FL HF MEDICARE
FL
Enumeration date
02/23/2007
Last updated
08/08/2021
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