MEDICARE: M. PAUL WATSON, M.D. A MEDICAL CORPORATION

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	207Q00000X	Family Medicine Physician	012676	LA

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	:	1487822946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M. PAUL WATSON, M.D. A MEDICAL CORPORATION

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	:

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	:	OWNER
Name	:	DR. PAUL WATSON
Credential	:	M. D.
Telephone Number	:	318-388-1662

Provider Enumeration Date	:	02/18/2008
Last Update Date	:	05/20/2026

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