Individual
MR. WILLIAM NEWSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MAROON DR, BRIDGEPORT, TX 76426-6741
(940) 683-4066
(940) 683-4066
Mailing address
29 ROBINHOOD DR, BRIDGEPORT, TX 76426-2127
(940) 683-5216
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATO 880
TX
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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