Brandon Newsom

NPI #1831720150 in Mesquite, Texas

Provider Information

NPI Number: 1831720150
Entity Type: Individual
Name: Brandon Newsom
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jan 27, 2020
Last Updated: Jan 27, 2020

Practice Location

Address: 1313 N BELT LINE RD STE 102
City: Mesquite
State: Texas
ZIP Code: 75149-1784
Phone: (972) 289-0691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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