Provider Demographics
NPI:1548411093
Name:NEWTON HUGGINS, LINDSAY D (MD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:D
Last Name:NEWTON HUGGINS
Suffix:
Gender:F
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:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:801 7TH AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2733
Practice Address - Country:US
Practice Address - Phone:682-885-5001
Practice Address - Fax:682-885-5181
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2213208000000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U87ZOtherMEDICARE GROUP PIN
TX203591702OtherCSHCN INDIVIDUAL TPI
TX137345810OtherCSHCN GROUP TPI
TX140442852OtherMEDICAID GROUP TPI
TX1750369203OtherNPI GROUP NUMBER
TX203591701Medicaid
TX8L15901Medicare PIN