Individual
DR. DESHAWN K STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4118 CANDLEWOOD CIR, WICHITA FALLS, TX 76308-4442
(940) 923-1786
Mailing address
4118 CANDLEWOOD CIR, WICHITA FALLS, TX 76308-4442
(940) 923-1786
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
P5007
TX
207Q00000X
Family Medicine Physician
04-30305
KS
207Q00000X
Family Medicine Physician
Primary
P5007
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319924201
—
TX
01
—
P01311907
RAILROAD MEDICARE
TX
Enumeration date
01/05/2007
Last updated
02/10/2023
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