Provider Demographics
NPI:1700984978
Name:NEWTON FAMILY CLINIC P.A.
Entity Type:Organization
Organization Name:NEWTON FAMILY CLINIC P.A.
Other - Org Name:NEWTON FAMILY CLINIC @ KIRBYVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QAMAR
Authorized Official - Middle Name:U
Authorized Official - Last Name:ARFEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-813-2332
Mailing Address - Street 1:3406 COLLEGE STREET
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701
Mailing Address - Country:US
Mailing Address - Phone:409-813-2332
Mailing Address - Fax:409-232-0371
Practice Address - Street 1:104 E. LAVIELLE STREET
Practice Address - Street 2:
Practice Address - City:KIRBYVILLE
Practice Address - State:TX
Practice Address - Zip Code:75956
Practice Address - Country:US
Practice Address - Phone:409-423-4414
Practice Address - Fax:409-232-0371
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIAGNOSTIC GROUP INTERGRATED HCS, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-20
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
8B3070OtherBCBS
TX150074602Medicaid
00548RMedicare PIN
TX673879Medicare Oscar/Certification