Provider Demographics
NPI:1437358116
Name:STEWART, DANIEL JASON (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JASON
Last Name:STEWART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DAN
Other - Middle Name:
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:98 S PARK DR
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5977
Mailing Address - Country:US
Mailing Address - Phone:325-641-2686
Mailing Address - Fax:325-643-9616
Practice Address - Street 1:98 S PARK DR
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5977
Practice Address - Country:US
Practice Address - Phone:325-641-2686
Practice Address - Fax:325-643-9616
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6481207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F6191Medicare Oscar/Certification
TX8F6191Medicare PIN