Individual
MR. LARRY L NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
36000 DARNALL LOOP, NICU, FORT HOOD, TX 76544-5095
(254) 288-8415
Mailing address
965 PERRYMAN CREEK RD, COPPERAS COVE, TX 76522-7437
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
534269
TX
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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