Provider Demographics
NPI:1871587147
Name:NEWMAN, TERRY S (MD)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:S
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6515 GARTH RD STE 150
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-5628
Mailing Address - Country:US
Mailing Address - Phone:832-805-6810
Mailing Address - Fax:833-997-0936
Practice Address - Street 1:6515 GARTH RD STE 150
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-5628
Practice Address - Country:US
Practice Address - Phone:832-805-6810
Practice Address - Fax:833-997-0936
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH4730207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX045333401Medicaid
TX87599ZOtherHMO BLUE
TX4130077OtherAETNA
TX86Z059OtherBCBS
TX080110933OtherRAILROAD MEDICARE
TX045333401Medicaid
TX4130077OtherAETNA