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NPI 1336087709

NPI 1336087709 : WATSON HEALTH & WELLNESS LLC : WAKE VILLAGE, TX

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General NPI Number Information
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    NPI Number           |    1336087709
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    Entity Type          |    Organization 
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    Legal Business Name  |    WATSON HEALTH & WELLNESS LLC 
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Dates
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    Enumeration Date     |    03/24/2026
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    Last Update Date     |    03/24/2026
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Provider Practice Location Address
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    Address Line         |    901 N KINGS HWY 
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    City                 |    WAKE VILLAGE
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    State                |    TX
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    Zip                  |    75501-2201
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    Country              |    US
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    Telephone            |    903-794-0022
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    Fax                  |    903-792-3773
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Provider Business Mailing Address
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    Address Line         |    7207 GOLDFINCH RD 
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    City                 |    TEXARKANA
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    State                |    TX
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    Zip                  |    75501-0227
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    Country              |    US
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    Telephone            |    903-794-0022
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    Fax                  |    903-792-3773
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     IAN  WATSON 
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    Credential           |    NP
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    Telephone            |    903-276-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    
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    License Number State |    
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