Individual
GARY WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3950 S CARRIER PKWY STE 110, GRAND PRAIRIE, TX 75052-6671
(972) 264-5858
(972) 264-8800
Mailing address
645 E STATE HIGHWAY 121 STE 600, COPPELL, TX 75019-7942
(972) 745-7500
(972) 745-4376
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01639
TX
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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