Basic Information
Provider Information
NPI: 1619470184
EntityType: 2
ReplacementNPI:  
OrganizationName: LINZI L STEWART, D.O., P.L.L.C.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: HARMONY WOMEN'S HEALTHCARE
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10400 S WESTERN AVE STE 7
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731393017
CountryCode: US
TelephoneNumber: 4056327256
FaxNumber: 4057033804
Practice Location
Address1: 10400 S WESTERN AVE STE 7
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 73139
CountryCode: US
TelephoneNumber: 4056327256
FaxNumber: 4057033804
Other Information
ProviderEnumerationDate: 03/12/2018
LastUpdateDate: 08/27/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: DILL
AuthorizedOfficialFirstName: STACEY
AuthorizedOfficialMiddleName: L
AuthorizedOfficialTitleorPosition: BILLING MANAGER
AuthorizedOfficialTelephone: 4057359700
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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