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Individual

CAROLYN BEA WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.A.

Contact information

Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-2860
Mailing address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-2860

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
542681
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP117947
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204721904
TX
05
204721905
TX
05
405535700
MD
Enumeration date
06/22/2006
Last updated
06/12/2025
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