Stewart Dermatology, PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

N9307 Issued in TX

Legal business name

STEWART DERMATOLOGY, PLLC

Practice address

7000 Bryant Irvin Rd
Fort Worth, TX 76132-4250

Phone

(678) 488-1673

NPI assigned

Jul 7, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Faith Stewart, M.D.

Title

Owner

Phone

(678) 488-1673

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1932582111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 LEMMON AVE APT 2104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042359",
            "telephone_number": "678-488-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 BRYANT IRVIN RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324250",
            "telephone_number": "678-488-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-488-1673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "N9307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Bryan Stevens, DNP
• Dominique Stevenson, LVN
• Robert N. Stevenson, M.D.
• Casey Megan Steward, PT, DPT
• Sammantha Steward
• Stewart Keller DO PA
• Selwyn Ronea Stewart Winrow, PSYD
• Alexia Stewart, CPNP-PC
• Andrew Ronaldo Stewart, MD
• Angelene Marcell Stewart, D.O.

• MOHS-Micrographic Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.