Basic Information
| Provider Information | |||||||||
| NPI: | 1821735721 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NEWSTROM | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | CAROLE | ||||||||
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| Credential: | MD, MS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 705 MAIN ST UNIT 806 | ||||||||
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| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770023324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812218603 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1101 BATES AVE | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137985900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/13/2022 | ||||||||
| LastUpdateDate: | 05/13/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 000000 | TX | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.