Provider Demographics
NPI:1942641279
Name:STEWART, LAWRENCE JUDE III
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:JUDE
Last Name:STEWART
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9668 WESTHEIMER RD # 200-252
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3241
Mailing Address - Country:US
Mailing Address - Phone:713-732-2697
Mailing Address - Fax:
Practice Address - Street 1:8989 WESTHEIMER RD STE 214
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3608
Practice Address - Country:US
Practice Address - Phone:713-732-2697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment