Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | N/A | NM |
Y | 2080P0202X | Pediatric Cardiologist | Q3444 | TX |
NPI | 1245403146 |
---|---|
Provider Name | Dr. Eileen Merkle Stewart |
First Address | Austin, TX 78756 |
Second Address | Austin, TX 78756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2008 |
Last Update Date | 03/10/2016 |