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NPI 1679595417

NPI 1679595417 : WINSTON E WATKINS JR. MD : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1679595417
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    Entity Type          |    Individual 
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    Provider Name        |    WINSTON E WATKINS JR. MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/24/2006
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    Last Update Date     |    04/16/2013
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Provider Practice Location Address
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    Address Line         |    1315 ST JOSEPH PKWY STE 1507
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77002-8233
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    Country              |    US
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    Telephone            |    713-650-6556
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    Fax                  |    713-650-8539
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Provider Business Mailing Address
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    Address Line         |    1315 ST JOSEPH PKWY STE 1507
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77002-8233
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    Country              |    US
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    Telephone            |    713-650-6556
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    Fax                  |    713-650-8539
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    G8491
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    License Number State |    TX
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