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Individual

ERIC C STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
888274
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP129454
TX
367500000X
Certified Registered Nurse Anesthetist
ARNP9258675
FL
367500000X
Certified Registered Nurse Anesthetist
RN304599L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G4230
FL BCBS
FL
Enumeration date
11/21/2006
Last updated
11/05/2020
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