MEDICARE: DONNA ELLEN NEWSOME MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	2024037076	MO
2	2084N0400X	Neurology Physician	C171241	CA
3	2084N0400X	Neurology Physician	ME169391	FL
4	2084N0400X	Neurology Physician	L3412	TX
5	2084N0400X	Neurology Physician	01094064A	IN
6	2084N0400X	Neurology Physician	2024-02417	NC
7	2084N0400X	Neurology Physician	MD61558674	WA
8	2084N0400X	Neurology Physician	MD25042	ME
9	2084N0400X	Neurology Physician	72026	TN
10	2084N0400X	Neurology Physician	0101282738	VA
11	2084N0400X	Neurology Physician	MD221077	OR

General Provider Information

NPI Number	:	1225132277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA ELLEN NEWSOME MD

Provider Business Mailing Address
First Line	:	7203 CANA
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-6860
Country	:	US
Telephone Number	:	817-707-9668
Fax Number	:	817-764-5003

Provider Business Practice Location Address
First Line	:	7203 CANA
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-6860
Country	:	US
Telephone Number	:	817-707-9668
Fax Number	:	817-764-5003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	10/30/2025

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Directions to “ DONNA ELLEN NEWSOME MD” Practice Location

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