MR. Michael Wayne Newman JR., IDMT

NPI #1194066530 in Manor, Texas

Provider Information

NPI Number: 1194066530
Entity Type: Individual
Name: MR. Michael Wayne Newman JR., IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Mar 11, 2013
Last Updated: Mar 11, 2013

Practice Location

Address: 19703 LOCKWOOD RD
City: Manor
State: Texas
ZIP Code: 78653-4980
Phone: (707) 301-5404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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