Stefan Stewart
Individual provider Active NPI Driver · Bastrop, LA
NPI 1962069641 · NPPES record last updated May 28, 2019
Key facts
- NPI
- 1962069641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 007854006 (LA)
- Practice address
- 510 Gunby Ave
Bastrop, LA 71220-4408 - Phone
- (318) 376-7581
- Fax
- (318) 974-3312
- NPI assigned
- May 28, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 007854006 | LA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C&S Transportation Service LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 007854006 | LA | Yes |
Addresses
Primary practice location
510 Gunby Ave
Bastrop, LA 71220-4408
Mailing address
510 Gunby Ave
Bastrop, LA 71220-4408
Phone (318) 376-7581
Other providers in Bastrop, LA
- Stephenie R. Long, MD LLC
- Sterlington Critical Access Hospital L.L.C
- Sterlington Critical Access Hospital L.L.C
- Sterlington Critical Access Hospital, L.L.C.
- Sterlington Critical Access Hospital, L.L.C.
- Holly Stover
- Summerlin Lane Nursing Home Inc
- Summerlin Lane Nursing Home, Inc.
- Kimball Tate
- Amaris La'Nise Taylor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 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.