1396949970 NPI number — DR. MILENA NEWHOOK DO

Table of content: DR. MILENA NEWHOOK DO (NPI 1396949970)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396949970 NPI number — DR. MILENA NEWHOOK DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NEWHOOK
Provider First Name:
MILENA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396949970
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/27/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
920 FROSTWOOD DR STE 670
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77024-2415
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
346-760-0500
Provider Business Mailing Address Fax Number:
346-279-0016

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
920 FROSTWOOD DR STE 670
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77024-2415
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
346-760-0500
Provider Business Practice Location Address Fax Number:
346-279-0016
Provider Enumeration Date:
06/14/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  N2211 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3853976616 . This is a "MYUTMB 3853976616-COMMERCIAL NUMBER" identifier . This identifiers is of the category "OTHER".