Individual
JEREMY NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8315 WALNUT HILL LN, SUITE 120, DALLAS, TX 75231-4218
(214) 363-9946
Mailing address
1301 PACKSADDLE TRL, PROSPER, TX 75078-9473
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
784315
TX
Other
Enumeration date
11/21/2006
Last updated
03/02/2017
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