Healthcare Provider Details

I. General information

NPI: 1932011947
Provider Name (Legal Business Name): EMERALD WATSON ENTERPRISES REMIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2726 JOSEPHINE ST
NEW ORLEANS LA
70113-2912
US

IV. Provider business mailing address

2726 JOSEPHINE ST
NEW ORLEANS LA
70113-2912
US

V. Phone/Fax

Practice location:
  • Phone: 504-531-2624
  • Fax:
Mailing address:
  • Phone: 504-531-2624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: PROF. EMERALD M WATSON
Title or Position: CEO
Credential: MD
Phone: 504-531-2624