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Organization

BONNIE J WATKINS OTR INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS BONNIE JEAN WATKINS OTR (PRESIDENT)
(817) 929-5792
Entity
Organization

Contact information

Practice address
128 STONEGATE CT, BEDFORD, TX 76022-6651
(817) 929-5792
Mailing address
128 STONEGATE CT, BEDFORD, TX 76022-6651
(817) 929-5792

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
101183
TX

Other

Enumeration date
12/03/2008
Last updated
12/03/2008
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