TERRY R. WATSON CLINIC NPI 1023131273

NPI Information

NPI: 1023131273
Provider Name: TERRY R. WATSON CLINIC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3618 FAIRMOUNT ST
DALLAS, TX
ZIP 75219
Phone: (214) 520-7200
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TERRY R. WATSON CLINIC is a general practice in Dallas, TX. TERRY R. WATSON CLINIC NPI is 1023131273. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3618 FAIRMOUNT ST
DALLAS, TX
ZIP 75219-709
Phone: (214) 520-7200
Fax: (214) 559-3053

The provider's authorized official is Terry R Watson .
The authorized official title is Doctor and has the following contact phone number (214) 520-7200.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		F3376	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	POOOJK198	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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