MEDICARE: BRITTANY MARIE TAYLOR WATSON PA-C

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	363A00000X	Physician Assistant	PA11561	TX
2	363AS0400X	Surgical Physician Assistant	PA11561	TX
3	208M00000X	Hospitalist Physician	PA11561	TX
4	207R00000X	Internal Medicine Physician	PA11561	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225547219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY MARIE TAYLOR WATSON PA-C

Provider Business Mailing Address
First Line	:	4700 SETON CENTER PKWY STE 115
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-5753
Country	:	US
Telephone Number	:
Fax Number	:	346-478-0182

Provider Business Practice Location Address
First Line	:	11520 NORTHPOINTE BLVD
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77377-6460
Country	:	US
Telephone Number	:	281-955-2650
Fax Number	:	281-955-5875

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

Provider Enumeration Date	:	09/22/2017
Last Update Date	:	03/05/2026

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