MEDICARE: CHRISTPHER NEWCOMB

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	237700000X	Hearing Instrument Specialist	80639	TX

General Provider Information

NPI Number	:	1093120503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTPHER NEWCOMB

Provider Business Mailing Address
First Line	:	1250 NORTHWEST HWY
Second Line	:	SUITE G
City	:	GARLAND
State	:	TX
Zip	:	75041-5851
Country	:	US
Telephone Number	:	972-698-0615
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 NORTHWEST HWY
Second Line	:	SUITE G
City	:	GARLAND
State	:	TX
Zip	:	75041-5851
Country	:	US
Telephone Number	:	972-698-0615
Fax Number	:

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

Provider Enumeration Date	:	06/23/2014
Last Update Date	:	08/04/2014

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Directions to “ CHRISTPHER NEWCOMB ” Practice Location

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