MEDICARE: ANDREW RONALDO STEWART MD

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	207R00000X	Internal Medicine Physician	V9981	TX
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207RC0000X	Cardiovascular Disease Physician	V9981	TX

General Provider Information

NPI Number	:	1437618584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW RONALDO STEWART MD

Provider Business Mailing Address
First Line	:	720 KAHN DR
Second Line	:
City	:	PIKESVILLE
State	:	MD
Zip	:	21208-5826
Country	:	US
Telephone Number	:	410-504-9257
Fax Number	:

Provider Business Practice Location Address
First Line	:	6100 HARRIS PKWY STE 1200
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-6107
Country	:	US
Telephone Number	:	817-263-3724
Fax Number	:	817-263-3787

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

Provider Enumeration Date	:	03/18/2019
Last Update Date	:	08/15/2025

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