Individual
JAY HOWARD WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-3030
Mailing address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-8725
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206120202
—
TX
Enumeration date
08/05/2009
Last updated
09/27/2024
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