MEDICARE: CORY WATSON

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
1	367500000X	Certified Registered Nurse Anesthetist	224154	OK

General Provider Information

NPI Number	:	1306731054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORY WATSON

Provider Business Mailing Address
First Line	:	1837 KINGS XING
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-4314
Country	:	US
Telephone Number	:	405-850-0975
Fax Number	:

Provider Business Practice Location Address
First Line	:	4801 INTEGRIS PKWY
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73034-8864
Country	:	US
Telephone Number	:	405-657-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2025
Last Update Date	:	06/01/2026

Similar Medicare Providers

1568443638 — MR. DANIEL LOUIS TALLERICO MD
Practice Location Address:

4833 INTEGRIS PKWY , SUITE 200
EDMOND, OK
73034-8864

Practice Phone: 405-657-3950
Practice Fax: 405-471-0040

1043294861 — DR. ELISA DEPANI-SPARKES D.O.
Practice Location Address:

4833 INTEGRIS PKWY , SUITE 200
EDMOND, OK
73034-8864

Practice Phone: 405-657-3825
Practice Fax: 405-657-3824

1609847086 — DR. JAY K GANNAWAY MD
Practice Location Address:

4833 INTEGRIS PKWY , SUITE 150
EDMOND, OK
73034-8864

Practice Phone: 405-657-3990
Practice Fax: 405-471-0039

1548238124 — JULIA L HANSEN MD
Practice Location Address:

4833 INTEGRIS PKWY , 200
EDMOND, OK
73034-8864

Practice Phone: 405-657-3825
Practice Fax: 405-657-3824

1518901099 — SONJA JOHNSON HUGHES M.D.
Practice Location Address:

4833 INTEGRIS PKWY , SUITE 200
EDMOND, OK
73034-8864

Practice Phone: 405-657-3950
Practice Fax: 405-471-0040

1811008337 — YOLANDA MARIA PRASSADA PHYSICIAN ASSISTANT
Practice Location Address:

4833 INTEGRIS PKWY STE 200
EDMOND, OK
73034-8864

Practice Phone: 405-657-3825
Practice Fax: 405-657-3824

Directions to “ CORY WATSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.