Provider Demographics
NPI:1396829982
Name:NEWTON, RYAN CHIRTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:CHIRTOPHER
Last Name:NEWTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 GREATWOOD PKWY
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6595
Mailing Address - Country:US
Mailing Address - Phone:281-545-2225
Mailing Address - Fax:281-545-2757
Practice Address - Street 1:6560 GREATWOOD PKWY
Practice Address - Street 2:SUITE 1000
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6595
Practice Address - Country:US
Practice Address - Phone:281-545-2225
Practice Address - Fax:281-545-2757
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9998111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8U1850OtherBLUE CROSS BLUE SHIELD
TX8U1850OtherBLUE CROSS BLUE SHIELD
TX8F1257Medicare ID - Type UnspecifiedPROVIDER NUMBER