Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dericka Denae Stewart

Individual provider Athletic Trainer · NPI 1720544059

Dericka Denae Stewart is an Athletic Trainer in Houston, Texas. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

112 Black Walnut Dr
Houston, TX 77015-1754
Phone: (281) 782-9786
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1720544059
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 12, 2019
Last updated in NPPESFebruary 12, 2019
Mailing address112 Black Walnut Dr, Houston, TX 77015-1754

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