Provider Demographics
NPI:1568296945
Name:STEWART CENTER FOR PLASTIC SURGERY AND HAND PLLC
Entity type:Organization
Organization Name:STEWART CENTER FOR PLASTIC SURGERY AND HAND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-981-7144
Mailing Address - Street 1:6130 W PARKER RD STE 110
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7917
Mailing Address - Country:US
Mailing Address - Phone:972-981-7144
Mailing Address - Fax:972-981-3265
Practice Address - Street 1:6130 W PARKER RD STE 110
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7917
Practice Address - Country:US
Practice Address - Phone:972-981-7144
Practice Address - Fax:972-981-3265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty