Organization
TEXOMA NEPHROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MACKEY WATKINS M.D. (PRESIDENT)
(903) 463-5057
Entity
Organization
Contact information
Practice address
102 MEMORIAL DR, SUITE 201, DENISON, TX 75020-2025
(903) 463-5057
(903) 463-7661
Mailing address
102 MEMORIAL DR, SUITE 201, DENISON, TX 75020-2025
(903) 463-5057
(903) 463-7661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D9710
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81Z5700
BLUE CROSS/BL;UE SHIELD
TX
Enumeration date
05/17/2006
Last updated
08/22/2020
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