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1518269133 NPI number — GARY B. WATTS, M.D, P.A.

NPI Number: 1518269133
Health Care Provider/Practitioner: GARY B. WATTS, M.D, P.A.

Information about “1518269133” NPI (GARY B. WATTS, M.D, P.A.) exists in 1518269133 in HTML format HTML  |  1518269133 in plain Text format TXT  |  1518269133 in PDF (Portable Document Format) PDF  |  1518269133 in an XML format XML  formats.

NPI Number : 1518269133 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518269133",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GARY B. WATTS, M.D, P.A.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2925 COUNTRY CLUB RD",
    "SecondLineMailingAddress": "SUITE 102",
    "MailingAddressCityName": "DENTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76210-8603",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "940-382-1120",
    "MailingAddressFaxNumber": "940-383-1499",
    "FirstLinePracticeLocationAddress": "2925 COUNTRY CLUB RD",
    "SecondLinePracticeLocationAddress": "SUITE 102",
    "PracticeLocationAddressCityName": "DENTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76210-8603",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "940-382-1120",
    "PracticeLocationAddressFaxNumber": "940-383-1499",
    "EnumerationDate": "12/02/2010",
    "LastUpdateDate": "12/02/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WATTS",
    "AuthorizedOfficialFirstName": "GARY",
    "AuthorizedOfficialMiddleName": "B.",
    "AuthorizedOfficialTitle": "PHYSICIAN OWNER/PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "940-382-1120",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "H6692",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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