Provider Demographics
NPI:1396879326
Name:BROWN-STEWART, SONIA DOREEN (DC, RN)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:DOREEN
Last Name:BROWN-STEWART
Suffix:
Gender:F
Credentials:DC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2428 TEXAS PKWY
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-4087
Mailing Address - Country:US
Mailing Address - Phone:281-499-7340
Mailing Address - Fax:281-499-7340
Practice Address - Street 1:2428 TEXAS PKWY
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-4087
Practice Address - Country:US
Practice Address - Phone:281-499-7340
Practice Address - Fax:281-499-7340
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4414111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX601737OtherBLUE CROSS BLUE SHIELD
TXC22281Medicare UPIN
TX610940Medicare PIN