Organization Name: | THOMAS D. NEWELL PLLC |
NPI Number: | 1053586073 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS DAVID NEWELL (OWNER) |
Mailing Address: | 1214 Primrose Ln Denton |
State: | TX US |
Postal Code: | 762012551 |
Phone Number: | 9405661444 |
Fax Number: | 9405668746 |
NPI Enumeration Date: | 04/30/2008 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | K2701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |