Individual
BRANDON NEWSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1313 N BELT LINE RD STE 102, MESQUITE, TX 75149-1784
(972) 289-0691
Mailing address
2701 BEAU DR, MESQUITE, TX 75181-1205
(214) 454-7132
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3125034
TX
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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