Individual
GARY B WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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 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
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