Provider Demographics
NPI:1649462029
Name:LIEW-NEWVILLE, CHRISTINA Y (RD, LD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:Y
Last Name:LIEW-NEWVILLE
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 STOWE SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002
Mailing Address - Country:US
Mailing Address - Phone:682-552-0696
Mailing Address - Fax:
Practice Address - Street 1:8010 STOWE SPRINGS LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-3773
Practice Address - Country:US
Practice Address - Phone:682-552-0696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2017-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT80328133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183686801Medicaid
TX8AC122OtherBLUE CROSS BLUE SHIELD OF TEXAS