| Holly S. Stewart, Md Pa | |
|
3502 9th St Suite 360 Lubbock TX 79415-3300 | |
| (806) 744-7764 | |
| (806) 744-7761 |
| Full Name | Holly S. Stewart, Md Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3502 9th St, Lubbock, Texas |
| Authorized Official Name and Position | Holly S Stewart (OWNER OPERATOR) |
| Authorized Official Contact | 8067447764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly S. Stewart, Md Pa 3502 9th St Suite 360 Lubbock TX 79415-3300 Ph: (806) 744-7764 | Holly S. Stewart, Md Pa 3502 9th St Suite 360 Lubbock TX 79415-3300 Ph: (806) 744-7764 |
| NPI Number | 1043358336 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043358336 | NPI | - | NPPES |
| J8790 | Other | TX | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | J8790 (Texas) | Primary |
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