Healthcare Provider Details
I. General information
NPI: 1639216336
Provider Name (Legal Business Name): NEWTON FAMILY CLINIC P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/31/2007
Last Update Date: 08/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
561 STATE STREET
JASPER TX
75951
US
IV. Provider business mailing address
3406 COLLEGE STREET
BEAUMONT TX
77701
US
V. Phone/Fax
- Phone: 409-384-8990
- Fax: 409-232-0371
- Phone: 409-813-2332
- Fax: 409-232-0371
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
QAMAR
U
ARFEEN
Title or Position: OWNER
Credential: MD
Phone: 409-813-2332