Provider Demographics
NPI:1457320558
Name:LIGHTNER, OSCAR NEWTON (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:NEWTON
Last Name:LIGHTNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 CALLE DEL NORTE
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-9117
Mailing Address - Country:US
Mailing Address - Phone:956-726-0501
Mailing Address - Fax:
Practice Address - Street 1:5402 S STAPLES ST
Practice Address - Street 2:STE 103
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4670
Practice Address - Country:US
Practice Address - Phone:361-980-1296
Practice Address - Fax:361-986-8988
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4161207Q00000X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine