Individual
BARBY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1712 SPOONEMORE LN, GREENVILLE, TX 75401-6834
(903) 413-7400
Mailing address
PO BOX 38, CELESTE, TX 75423-0038
(903) 413-7400
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
188103
TX
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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