MEDICARE: KYLE STUART MD PA

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	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1902164999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KYLE STUART MD PA

Provider Business Mailing Address
First Line	:	3310 LIVE OAK ST STE 575
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-6153
Country	:	US
Telephone Number	:	214-824-7744
Fax Number	:	214-856-7991

Provider Business Practice Location Address
First Line	:	3310 LIVE OAK ST STE 575
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-6153
Country	:	US
Telephone Number	:	214-824-7744
Fax Number	:	214-856-7991

Authorized Official
Title or Position	:	OWNER
Name	:	KYLE DAVID STUART
Credential	:	MD
Telephone Number	:	214-824-7744

Provider Enumeration Date	:	04/26/2012
Last Update Date	:	03/03/2026

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Directions to “KYLE STUART MD PA ” Practice Location

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