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Individual

TOBIE JANE WATKINS

Active
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Individual

TOBIE JANE WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R195900
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R195900
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
347464501
TX
01
8477UK
BCBS
TX
01
P01509944
RR
TX
Enumeration date
07/16/2012
Last updated
11/03/2015
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