MEDICARE: DR. MICHAEL PAUL 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	208D00000X	General Practice Physician	MD.012676	LA

General Provider Information

NPI Number	:	1245429471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL PAUL WATSON M.D.

Provider Business Mailing Address
First Line	:	8649 HIGHWAY 165 N STE 3
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71203-8965
Country	:	US
Telephone Number	:	318-388-1662
Fax Number	:	318-388-1666

Provider Business Practice Location Address
First Line	:	8649 HIGHWAY 165 N STE 3
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71203-8965
Country	:	US
Telephone Number	:	318-388-1662
Fax Number	:	318-388-1666

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

Provider Enumeration Date	:	10/24/2007
Last Update Date	:	06/11/2026

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