Individual
RHODA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1411 N BECKLEY AVE, PAVILLION III, 2ND FLOOR, SUITE 268, DALLAS, TX 75203
(214) 947-4448
(214) 947-4446
Mailing address
107 RED OAK ST S, HUDSON OAKS, TX 76087-7319
(817) 371-0799
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
610032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175116601
—
TX
01
—
DQ5280
MEDICARE RR PALMETTO
TX
01
—
P00883507
PALMETTO RR
TX
Enumeration date
05/02/2006
Last updated
08/08/2018
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