Individual
HATIRA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3126 RODD FIELD RD, CORPUS CHRISTI, TX 78414-3901
(361) 452-6898
(361) 452-6870
Mailing address
3126 RODD FIELD RD, CORPUS CHRISTI, TX 78414-3901
(361) 658-7869
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP129694
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353493501
—
TX
Enumeration date
12/04/2015
Last updated
02/24/2016
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