Stewart, Mark

Stewart, Mark is an individual health care provider with primary practice located at 1010 W 40Th St , Austin TX 78756-4010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Stewart, Mark can be contacted via phone (512) 459-8753.

Contact Information

Primary practice address
1010 W 40Th St Austin TX 78756-4010
Fax: (512) 483-6828
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X E8939 Texas

Profile Details

NPI number 1336163633
LBN Legal business name Stewart, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336163633 NPPES
Texas Other 824102 BCBS PROV NO

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