Individual
DAVID I.A. WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
559739
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
559739
BOARD OF NURSE EXAMINERS, RN LICENSE
TX
Enumeration date
01/29/2014
Last updated
01/29/2014
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