Stewart, Dericka Denae
Stewart, Dericka Denae is an sole proprietor health care provider with primary practice located at 112 Black Walnut Dr , Houston TX 77015-1754. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Stewart, Dericka Denae can be contacted via phone (281) 782-9786.Contact Information
Primary practice address
112 Black Walnut Dr
Houston TX 77015-1754
Phone: (281) 782-9786
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1720544059 |
|---|---|
| LBN Legal business name | Stewart, Dericka Denae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2019 |
| Last updated | Feb 12th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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