Individual
STEPHEN WATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4845 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 215-5700
(915) 215-8872
Mailing address
5130 GATEWAY BLVD E, EL PASO, TX 79905-1608
(915) 215-4480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01093548A
IN
207R00000X
Internal Medicine Physician
W0327
TX
208000000X
Pediatrics Physician
01093548A
IN
208000000X
Pediatrics Physician
W0327
TX
208D00000X
General Practice Physician
01093548A
IN
208M00000X
Hospitalist Physician
Primary
W0327
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2020
Last updated
09/10/2025
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