Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 55016 | TN |
N | 208000000X | Pediatrician | 64474-20 | WI |
N | 208000000X | Pediatrician | MD.207568 | LA |
Y | 2080P0204X | Pediatric Emergency Doctor | S2175 | TX |
NPI | 1528323797 |
---|---|
Provider Name | Robert James Stewart |
First Address | San Antonio, TX 78253-4003 |
Second Address | San Antonio, TX 78229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2012 |
Last Update Date | 24/06/2019 |