Provider Demographics
NPI:1558424531
Name:NEWSOM, HAMLET T (MD, PA)
Entity Type:Individual
Prefix:DR
First Name:HAMLET
Middle Name:T
Last Name:NEWSOM
Suffix:
Gender:M
Credentials:MD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8220 WALNUT HILL LN STE 314
Mailing Address - Street 2:PROFESSIONAL BUILDING 2, SUITE 314
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4413
Mailing Address - Country:US
Mailing Address - Phone:214-750-5510
Mailing Address - Fax:214-750-1930
Practice Address - Street 1:8220 WALNUT HILL LN STE 314
Practice Address - Street 2:PROFESSIONAL BUILDING 2, SUITE 314
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4413
Practice Address - Country:US
Practice Address - Phone:214-750-5510
Practice Address - Fax:214-750-1930
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD5447174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAL91Medicare ID - Type Unspecified
TXB25149Medicare UPIN