Provider Demographics
NPI:1972590768
Name:NEWTON, JAMES B (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:NEWTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:710 E ANDERSON ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-5870
Mailing Address - Country:US
Mailing Address - Phone:817-599-7364
Mailing Address - Fax:817-596-0030
Practice Address - Street 1:710 E ANDERSON ST
Practice Address - Street 2:SUITE D
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5870
Practice Address - Country:US
Practice Address - Phone:817-599-7364
Practice Address - Fax:817-596-0030
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE8761207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098169801Medicaid
TX00LN60Medicare PIN
TXC19863Medicare UPIN