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Individual

TIKISHA NEWTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
3301 STALCUP RD, FORT WORTH, TX 76119-1726
(817) 702-1100
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1196124
TX

Other

Enumeration date
08/12/2025
Last updated
09/24/2025
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