Individual
JENELLE S WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3804 W 15TH ST, SUITE 140, PLANO, TX 75075-4752
(469) 326-1600
(469) 326-1608
Mailing address
2220 COIT RD STE 480-221, PLANO, TX 75075-3797
(469) 277-9103
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K6407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202173501
—
TX
05
—
202173504
—
TX
Enumeration date
02/23/2006
Last updated
06/24/2021
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