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NPI Code Detail

MEDICARE: DR. MICHAEL JAMES WATSON M.D.

MEDICARE: DR. MICHAEL JAMES WATSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician01057748AIN
2207Q00000XFamily Medicine PhysicianP4267TX

General Provider Information

NPI Number : 1184602104
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JAMES WATSON M.D.
Provider Business Mailing Address
First Line : PO BOX 9520
Second Line :
City : EL PASO
State : TX
Zip : 79995-9520
Country : US
Telephone Number : 915-755-5827
Fax Number :
Provider Business Practice Location Address
First Line : 9849 KENWORTHY ST
Second Line :
City : EL PASO
State : TX
Zip : 79924-4402
Country : US
Telephone Number : 915-545-6720
Fax Number : 915-545-5755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 12/17/2012

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