Provider Demographics
NPI:1265496079
Name:ZWEIKOFT, STEWART Z (MD)
Entity Type:Individual
Prefix:
First Name:STEWART
Middle Name:Z
Last Name:ZWEIKOFT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 343
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78292-0343
Mailing Address - Country:US
Mailing Address - Phone:830-627-3800
Mailing Address - Fax:830-625-2235
Practice Address - Street 1:205 N KING ST
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5836
Practice Address - Country:US
Practice Address - Phone:830-609-9478
Practice Address - Fax:830-433-9089
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005011146207L00000X
FLME 96230207LP2900X
TXP0529207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3433948-01Medicaid
TX3433948-01Medicaid
I34469Medicare UPIN