Provider Demographics
NPI:1144760042
Name:NEWMAN, CODY (DC)
Entity type:Individual
Prefix:DR
First Name:CODY
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5899 PRESTON RD STE 1002
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9593
Mailing Address - Country:US
Mailing Address - Phone:214-449-1021
Mailing Address - Fax:
Practice Address - Street 1:5899 PRESTON RD STE 1002
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9593
Practice Address - Country:US
Practice Address - Phone:214-449-1021
Practice Address - Fax:214-291-5899
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-27
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13378111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor