Individual
MR. CASEY FULTON WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
226 S PINKERTON ST, ATHENS, TX 75751-2439
(903) 670-3292
(903) 670-3292
Mailing address
226 S PINKERTON ST, ATHENS, TX 75751-2439
(903) 670-3292
(903) 670-3292
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
100477
TX
Other
Enumeration date
03/30/2007
Last updated
09/11/2025
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