Individual
ADAM BRENT WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-4522
Mailing address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-4522
(903) 606-1300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
652485
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP117546
TX
Other
Enumeration date
10/28/2008
Last updated
05/11/2022
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