Healthcare Provider Details

I. General information

NPI: 1336087709
Provider Name (Legal Business Name): WATSON HEALTH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 N KINGS HWY
WAKE VILLAGE TX
75501-2201
US

IV. Provider business mailing address

7207 GOLDFINCH RD
TEXARKANA TX
75501-0227
US

V. Phone/Fax

Practice location:
  • Phone: 903-794-0022
  • Fax: 903-792-3773
Mailing address:
  • Phone: 903-794-0022
  • Fax: 903-792-3773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: IAN WATSON
Title or Position: OWNER
Credential: NP
Phone: 903-276-0020