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Individual

GARY B WATTS

Active
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Individual

GARY B WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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 PROV NUMBER
01
0612725
AETNA HMO PROV NUMBER
01
127555
VALUE OPTION PROV #
01
128256
MHN PROVIDER NUMBER
05
136782306
TX
01
260016774
RAILROAD MEDICARE PROV #
TX
01
752435278
TRICARE PROV NUMBER
01
E81496
STERLING OPTION PROV #
Enumeration date
10/25/2006
Last updated
12/02/2010
Update your record

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