MEDICARE: DR. REBECCA LYNN WATSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	K4830	TX
2	208000000X	Pediatrics Physician	K4830	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093789729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA LYNN WATSON M.D.

Provider Business Mailing Address
First Line	:	7330 SAN PEDRO
Second Line	:	SUITE 405
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-6235
Country	:	US
Telephone Number	:	210-344-2673
Fax Number	:	210-344-2649

Provider Business Practice Location Address
First Line	:	7330 SAN PEDRO
Second Line	:	SUITE 405
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-6235
Country	:	US
Telephone Number	:	210-344-2673
Fax Number	:	210-344-2649

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	10/26/2015

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