WATKINS MEDICAL ENTERPRISE PLLC. NPI 1811188774

NPI Information

NPI: 1811188774
Provider Name: WATKINS MEDICAL ENTERPRISE, PLLC.

Doing Business As: FAMILY MEDICAL CENTER AT WHITE ROCK

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1151 N BUCKNER BLVD
SUITE 302
DALLAS, TX
ZIP 75218
Phone: (214) 321-6511
Get Directions

WATKINS MEDICAL ENTERPRISE, PLLC. is a family medicine in Dallas, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WATKINS MEDICAL ENTERPRISE, PLLC. NPI is 1811188774. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Medical Center At White Rock.

The provider's business location address is:

1151 N BUCKNER BLVD
SUITE 302
DALLAS, TX
ZIP 75218-426
Phone: (214) 321-6511
Fax: (214) 321-1195

The provider's authorized official is Cheletta Lashelle Watkins .
The authorized official title is President/ceo and has the following contact phone number (214) 321-6511.

The enumeration date for this NPI number is 8/6/2007 and was last updated on 8/6/2007.

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	207Q00000X	Family Medicine		L3519	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	H31092	MEDICARE UPIN	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »