Basic Information
| Provider Information | |||||||||
| NPI: | 1346509874 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NEWSON | ||||||||
| FirstName: | SHAD | ||||||||
| MiddleName: | DANIAL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1801 PURPLE SAGE RD | ||||||||
| Address2: | |||||||||
| City: | DALHART | ||||||||
| State: | TX | ||||||||
| PostalCode: | 790228044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8016364311 | ||||||||
| FaxNumber: | 8062449397 | ||||||||
| Practice Location | |||||||||
| Address1: | 1250 E 3900 S | ||||||||
| Address2: | SUITE 260 | ||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841241348 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8012652000 | ||||||||
| FaxNumber: | 8012652008 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2012 | ||||||||
| LastUpdateDate: | 07/08/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Q3745 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.