MEDICARE: MICHELLE ANNETTE WATKINS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	343800000X	Secured Medical Transport (VAN)
2	347C00000X	Private Vehicle
3	343900000X	Non-emergency Medical Transport (VAN)	TX

General Provider Information

NPI Number	:	1306774161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE ANNETTE WATKINS

Provider Business Mailing Address
First Line	:	2310 GRIMSLEY TER
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-5114
Country	:	US
Telephone Number	:	682-333-2335
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 GRIMSLEY TER
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-5114
Country	:	US
Telephone Number	:	682-333-2335
Fax Number	:

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

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	06/03/2026

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Directions to “ MICHELLE ANNETTE WATKINS ” Practice Location

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