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Individual

MRS. SUSAN R WATTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8160 WALNUT HILL LN, 306, DALLAS, TX 75231
(214) 373-7800
(214) 373-1102
Mailing address
8160 WALNUT HILL LN, 306, DALLAS, TX 75231
(214) 373-7800
(214) 373-1102

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K9700
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106282002
TX
Enumeration date
04/18/2006
Last updated
05/20/2009
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