MEDICARE: RITA NEWMAN M.D.

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	390200000X	Student in an Organized Health Care Education/Training Program	BP10026865	TX

General Provider Information

NPI Number	:	1558551176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA NEWMAN M.D.

Provider Business Mailing Address
First Line	:	5606 WORTH ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-4609
Country	:	US
Telephone Number	:	214-701-7589
Fax Number	:

Provider Business Practice Location Address
First Line	:	5606 WORTH ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-4609
Country	:	US
Telephone Number	:	214-701-7589
Fax Number	:

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

Provider Enumeration Date	:	07/30/2007
Last Update Date	:	07/30/2007

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