Individual
MR. MICHAEL WAYNE NEWMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
19703 LOCKWOOD RD, MANOR, TX 78653-4980
(707) 301-5404
Mailing address
19703 LOCKWOOD RD, MANOR, TX 78653-4980
(707) 301-5404
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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