Individual
GREGORY MICHAEL WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1929 ALLISON ST, GRAHAM, TX 76450-4810
(817) 694-6944
Mailing address
1929 ALLISON ST, GRAHAM, TX 76450-4810
(817) 694-6944
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
173328
TX
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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