MEDICARE: CHRISTOPHER BRUCE WATSON PA

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	363AM0700X	Medical Physician Assistant	PA06007	TX

General Provider Information

NPI Number	:	1134374424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER BRUCE WATSON PA

Provider Business Mailing Address
First Line	:	110 STONE OAK LOOP
Second Line	:	SUITE 103
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-3510
Country	:	US
Telephone Number	:	210-268-0129
Fax Number	:	210-497-8333

Provider Business Practice Location Address
First Line	:	18707 HARDY OAK BLVD STE 230
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4890
Country	:	US
Telephone Number	:	844-789-7246
Fax Number	:	888-880-9323

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

Provider Enumeration Date	:	12/01/2008
Last Update Date	:	05/01/2025

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