| Ronald A Stewart, D.o., P.a. | |
|
7120 Mccart Ave Fort Worth TX 76133-4200 | |
| (817) 294-5624 | |
| (817) 294-4711 |
| Full Name | Ronald A Stewart, D.o., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7120 Mccart Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Ronald A Stewart (PRESIDENT) |
| Authorized Official Contact | 8172945624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald A Stewart, D.o., P.a. 7120 Mccart Ave Fort Worth TX 76133-4200 Ph: (817) 294-5624 | Ronald A Stewart, D.o., P.a. 7120 Mccart Ave Fort Worth TX 76133-4200 Ph: (817) 294-5624 |
| NPI Number | 1568660587 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 05/29/2012 |
| Medicare PECOS PAC ID | 1153496559 |
|---|---|
| Medicare Enrollment ID | O20080820000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568660587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Angelene M Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710923149 PECOS PAC ID: 3870542087 Enrollment ID: I20050114000247 |
| Provider Name | Ronald A Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558307991 PECOS PAC ID: 7911083290 Enrollment ID: I20080326000994 |
| Provider Name | Vimala D Ravi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811437296 PECOS PAC ID: 7416232582 Enrollment ID: I20170403000736 |
| Provider Name | Lakeisha Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154832517 PECOS PAC ID: 9436418167 Enrollment ID: I20180125001408 |
| Provider Name | Tierra Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205503752 PECOS PAC ID: 1759767924 Enrollment ID: I20220927000030 |
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