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Individual
MR. MICHAEL C WATSON
Active
Individual
MR. MICHAEL C WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02898
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA02898
STATE LICENSE NUMBER
TX
01
—
PA60846633
STATE LICENSE
WA
Enumeration date
06/13/2011
Last updated
11/08/2019
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