Provider Demographics
NPI:1982865960
Name:STEWART, DIANA EBERE ANUKWUEM (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:EBERE ANUKWUEM
Last Name:STEWART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:DIANA
Other - Middle Name:EBERE
Other - Last Name:ANUKWUEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6621 FANNIN ST
Mailing Address - Street 2:SUITE A2210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2358
Mailing Address - Country:US
Mailing Address - Phone:832-824-5447
Mailing Address - Fax:832-825-5424
Practice Address - Street 1:6621 FANNIN ST
Practice Address - Street 2:SUITE A2210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2358
Practice Address - Country:US
Practice Address - Phone:832-824-5447
Practice Address - Fax:832-825-5424
Is Sole Proprietor?:No
Enumeration Date:2008-06-22
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10030838207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine