Individual
ANGELA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3613 SANDGATE ST, FORT WORTH, TX 76105-5230
(469) 882-0171
Mailing address
3613 SANDGATE ST, FORT WORTH, TX 76105-5230
(469) 882-0171
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
TX
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
246RP1900X
Phlebotomy Technician
Primary
124866-746012215
TX
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
TX
253Z00000X
In Home Supportive Care Agency
—
—
261QP2400X
Prison Health Clinic/Center
—
TX
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
347C00000X
Private Vehicle
—
TX
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
TX
Other
Enumeration date
10/31/2012
Last updated
04/12/2026
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