MEDICARE: DR. DANIEL JASON STEWART M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	M6481	TX

General Provider Information

NPI Number	:	1437358116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL JASON STEWART M.D.

Provider Business Mailing Address
First Line	:	98 S PARK DR
Second Line	:
City	:	BROWNWOOD
State	:	TX
Zip	:	76801-5977
Country	:	US
Telephone Number	:	325-641-2686
Fax Number	:	325-643-9616

Provider Business Practice Location Address
First Line	:	98 S PARK DR
Second Line	:
City	:	BROWNWOOD
State	:	TX
Zip	:	76801-5977
Country	:	US
Telephone Number	:	325-641-2686
Fax Number	:	325-643-9616

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2007
Last Update Date	:	02/15/2022

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