| Doctor Name: | BRIANNE NEWMAN |
| NPI Number: | 1194759126 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | |
| Business Practice Address: | 2200 Bergquist Dr Ste 1 Attn: Credentials (cmc) Lackland A F B, TX - 782369908 |
| Business Phone Number: | 2102925062 |
| Business Fax Number: | 2102927826 |
| Mailing Address: | 454 Willow Grove Dr, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782452775 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1004X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Pediatric |
| Taxonomy Definition: | |