Provider Demographics
NPI:1427130806
Name:NEWMAN, CARLTON E (DPM)
Entity type:Individual
Prefix:
First Name:CARLTON
Middle Name:E
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 W ANDERSON LANE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1451
Mailing Address - Country:US
Mailing Address - Phone:512-451-7929
Mailing Address - Fax:512-451-7931
Practice Address - Street 1:1306 W ANDERSON LANE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1451
Practice Address - Country:US
Practice Address - Phone:512-451-7929
Practice Address - Fax:512-451-7931
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX509213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0091BGMedicare ID - Type Unspecified
PI-T15029Medicare UPIN