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General NPI Number Information
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NPI Number | 1811995640
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Entity Type | Individual
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Provider Name | WAYNE K WATSON MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 10880 EDGEMERE BLVD # TX79935
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City | EL PASO
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State | TX
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Zip | 79935-1306
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Country | US
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Telephone | 915-590-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 910 K EAST REDD RD, EL PASO TX 9912 PO BOX #226
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City | EL PASO
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State | TX
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Zip | 79912
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Country | US
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Telephone | 915-581-5555
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Fax | 915-581-5775
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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 | 43840
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | F1300
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License Number State | TX
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