Provider Demographics
NPI:1053586073
Name:THOMAS D. NEWELL PLLC
Entity type:Organization
Organization Name:THOMAS D. NEWELL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:NEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DRNP, FNP-BC
Authorized Official - Phone:940-566-1444
Mailing Address - Street 1:1214 PRIMROSE LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-2551
Mailing Address - Country:US
Mailing Address - Phone:940-566-1444
Mailing Address - Fax:940-566-8746
Practice Address - Street 1:1214 PRIMROSE LN
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2551
Practice Address - Country:US
Practice Address - Phone:940-566-1444
Practice Address - Fax:940-566-8746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2701261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0065RDOtherBCBS OF TEXAS