Healthcare Provider Details

I. General information

NPI: 1073561148
Provider Name (Legal Business Name): CATHERINE WATSON AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 12/08/2021
Certification Date: 12/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NW 170TH ST STE 407
NORTH MIAMI BEACH FL
33169-5510
US

IV. Provider business mailing address

650 N SAM HOUSTON PKWY E STE 555
HOUSTON TX
77060-5987
US

V. Phone/Fax

Practice location:
  • Phone: 281-445-6166
  • Fax: 281-605-6757
Mailing address:
  • Phone: 281-445-6166
  • Fax: 281-605-6757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY2178
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: