Individual
DR. MICHAEL G WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1180 SETON PKWY, SUITE 450, KYLE, TX 78640-6178
(512) 504-0860
(512) 504-0861
Mailing address
1400 N IH 35, SUITE 300, AUSTIN, TX 78701-1926
(512) 324-8300
(512) 324-8301
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G0265
TX
207RI0011X
Interventional Cardiology Physician
Primary
G0265
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131766112
—
TX
05
—
131766113
—
TX
05
—
131766114
—
TX
05
—
131766115
—
TX
01
—
8CN886
BCBS
TX
01
—
8ET554
BCBS
TX
01
—
P00837533
RAILROAD MEDICARE
TX
Enumeration date
04/04/2006
Last updated
12/12/2014
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