Individual
JERRY A NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4002 S LOOP 256, SUITE S, PALESTINE, TX 75801-8491
(903) 729-5067
(903) 729-2841
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E1085
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114755504
—
TX
05
—
FR420
—
TX
Enumeration date
07/08/2005
Last updated
09/27/2018
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