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NPI Code Detail

MEDICARE: STEWART MICHAEL DEAN MD

MEDICARE: STEWART MICHAEL DEAN 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
1207X00000XOrthopaedic Surgery PhysicianG8074TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G8074OTHERTXSTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912988312
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEWART MICHAEL DEAN MD
Provider Business Mailing Address
First Line : PO BOX 4356
Second Line : DEPT 665
City : HOUSTON
State : TX
Zip : 77210-4356
Country : US
Telephone Number : 281-440-6960
Fax Number : 281-880-1566
Provider Business Practice Location Address
First Line : 17270 RED OAK DR
Second Line : STE 200
City : HOUSTON
State : TX
Zip : 77090-2632
Country : US
Telephone Number : 281-440-6960
Fax Number : 281-440-6205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2005
Last Update Date : 03/07/2023

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Directions to “ STEWART MICHAEL DEAN MD” Practice Location

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