Organization
GARY B. WATTS, M.D, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY B. WATTS (PHYSICIAN OWNER/PRESIDENT)
(940) 382-1120
Entity
Organization
Contact information
Practice address
2925 COUNTRY CLUB RD, SUITE 102, DENTON, TX 76210-8603
(940) 382-1120
(940) 383-1499
Mailing address
2925 COUNTRY CLUB RD, SUITE 102, DENTON, TX 76210-8603
(940) 382-1120
(940) 383-1499
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H6692
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004266484
AETNA PPO PROVIDER #
—
01
—
0612725
AETNA HMO PROV #
—
01
—
127555
VALUE OPTIONS PROV #
—
01
—
128256
MHN PROVIDER #
—
05
—
136782306
—
TX
01
—
260016774
RAILROAD MEDICARE PROIDER #
TX
01
—
E81496
STERLING OPTIONS PROV #
—
Enumeration date
12/02/2010
Last updated
12/02/2010
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