Healthcare Provider Details

I. General information

NPI: 1295005916
Provider Name (Legal Business Name): NPTK HEALTHCARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2012
Last Update Date: 01/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 N LOCUST ST
DENTON TX
76201-6908
US

IV. Provider business mailing address

1306 N LOCUST ST
DENTON TX
76201-6908
US

V. Phone/Fax

Practice location:
  • Phone: 940-566-9424
  • Fax: 940-239-0512
Mailing address:
  • Phone: 940-566-9424
  • Fax: 940-239-0512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number232289
License Number StateTX

VIII. Authorized Official

Name: DR. THOMAS DAVID NEWELL
Title or Position: OWNER / PRESIDENT
Credential: DNP, FNP-C
Phone: 940-566-1444