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Individual

MR. RICHARD WILLIAM MANUEL NEWBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NNP-BC

Contact information

Practice address
10301 GATEWAY WEST W, EL PASO, TX 79925
(915) 595-9628
Mailing address
6220 PALO ALTO AVE., EL PASO, TX 79912
(915) 926-6783

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
680585
TX

Other

Enumeration date
10/17/2011
Last updated
10/19/2011
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