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Individual

WATSON C ARNOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3601 4TH STREET, STOP 9406, LUBBOCK, TX 79430-9406
(806) 743-7336
(806) 743-7329
Mailing address
3601 4TH STREET, STOP 9903, LUBBOCK, TX 79430-9903
(806) 743-7336
(806) 743-7329

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
D6930
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00U87Z
BCBSTX GRP PIN
TX
01
10028697
AMERIGROUP PIN
TX
01
107700100
FIRSTCARE PIN
TX
01
124027
SUPERIOR PIN
TX
01
137831707
CSHCN IND TPI NUMBER
TX
05
137831709
TX
05
138412511
TX
05
140442854
TX
01
1416412
FIRSTHEALTH PIN
TX
01
378120
PHCS PIN
TX
01
4243069
AETNA PIN
TX
01
4605937
CIGNA PIN
TX
01
822100
UHC PIN
TX
01
87Y110
BCBSTX IND PIN
TX
Enumeration date
08/16/2006
Last updated
10/19/2015
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