Provider Demographics
NPI:1922445956
Name:NEWTON, JOHN TYLER (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:TYLER
Last Name:NEWTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5012 S US HWY 75, SUITE 300
Mailing Address - Street 2:ATTN BILLING
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-4587
Mailing Address - Country:US
Mailing Address - Phone:903-416-6309
Mailing Address - Fax:
Practice Address - Street 1:5012 S US HIGHWAY 75 STE 285
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4633
Practice Address - Country:US
Practice Address - Phone:903-416-6309
Practice Address - Fax:903-416-6310
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101020358207X00000X
TXS1469207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery