Rebecca Lynn Stewart, LVN
Individual provider Active NPI Licensed Vocational Nurse · San Augustine, TX
NPI 1104390327 · NPPES record last updated Jan 22, 2019
Key facts
- NPI
- 1104390327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 226906 (TX)
- Practice address
- 2451 Lickskillett Rd
San Augustine, TX 75972-7611 - Phone
- (936) 201-3934
- NPI assigned
- Jan 22, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226906 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 226906 | TX | Yes |
Addresses
Primary practice location
2451 Lickskillett Rd
San Augustine, TX 75972-7611
Mailing address
2451 Lickskillett Rd
San Augustine, TX 75972-7611
Phone (936) 201-3934
Other providers in San Augustine, TX
- San Augustine Pharmacy1St LLC
- Malaika Ilene Sigler
- David Smith
- SNG - San Augustine Dialysis Center LP
- Jeffrey Emery Sterling
- Summit LTC San Augustine, LLC
- Conchetta Taylor
- Texas Quick Care, LLC
- The Loving Way Transportation LLC
- Trinity Nursing and Rehabilitation, LP
All providers in San Augustine, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.