MEDICARE: GRACE MARIE STEWARD

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	363A00000X	Physician Assistant		TX

General Provider Information

NPI Number	:	1952255838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE MARIE STEWARD

Provider Business Mailing Address
First Line	:	7951 SHOAL CREEK BLVD STE 300
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78757-7582
Country	:	US
Telephone Number	:	512-584-8404
Fax Number	:	512-467-7247

Provider Business Practice Location Address
First Line	:	5200 DAVIS LN BLDG B200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-4069
Country	:	US
Telephone Number	:	512-467-7246
Fax Number	:	512-467-7247

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

Provider Enumeration Date	:	02/25/2026
Last Update Date	:	05/26/2026

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Directions to “ GRACE MARIE STEWARD ” Practice Location

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