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General NPI Number Information
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NPI Number | 1841346525
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Entity Type | Individual
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Provider Name | RODNEY WADE STUART MD
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 6221 RIVERSIDE DR STE 119
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City | IRVING
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State | TX
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Zip | 75039-3515
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Country | US
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Telephone | 866-987-7284
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Fax |
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Provider Business Mailing Address
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Address Line | 6221 RIVERSIDE DR STE 119
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City | IRVING
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State | TX
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Zip | 75039-3515
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Country | US
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Telephone | 694-232-9920
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Fax | 469-232-9927
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD2009-0457
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 6940834-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | NA
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License Number State | FL
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