Organization
JEREMY P. WATKINS MD, L.L.C
Active
Parent organization
JEREMY P. WATKINS MD, L.L.C
Other names
JEREMY P. WATKINS MD, L.L.C
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEREMY P. WATKINS MD, L.L.C
Authorized official
JEREMY P WATKINS M.D (OWNER PHYSICIAN)
(817) 335-8151
Entity
Organization
Contact information
Practice address
1001 12TH AVE, SUITE150, FORT WORTH, TX 76104-3926
(817) 335-8151
(817) 335-2670
Mailing address
1001 12TH AVE, SUITE150, FORT WORTH, TX 76104-3926
(817) 335-8151
(817) 335-2670
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M8419
TX
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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