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Individual
SANFORD WATKINS
Active
Individual
SANFORD WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M3109
TX
207R00000X
Internal Medicine Physician
Primary
M3109
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178792103
—
TX
01
—
P00387831
RR MEDICARE
TX
Enumeration date
12/20/2005
Last updated
08/17/2012
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