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NPI Code Detail

MEDICARE: ADAM EUGENE STEWART OT

MEDICARE:   ADAM EUGENE STEWART  OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist111309TX

General Provider Information

NPI Number : 1124390950
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM EUGENE STEWART OT
Provider Business Mailing Address
First Line : 109 S FESTIVAL DR
Second Line :
City : EL PASO
State : TX
Zip : 79912-5801
Country : US
Telephone Number : 915-842-1788
Fax Number : 915-842-1778
Provider Business Practice Location Address
First Line : 109 S FESTIVAL DR
Second Line :
City : EL PASO
State : TX
Zip : 79912-5801
Country : US
Telephone Number : 915-842-1788
Fax Number : 915-842-1778
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2012
Last Update Date : 02/09/2012

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Directions to “ ADAM EUGENE STEWART OT” Practice Location

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