Individual
MICHAEL DYLAN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001
(972) 518-2100
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(000) 121-4687
(972) 518-2100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2022031973
MO
Other
Enumeration date
06/02/2022
Last updated
08/18/2022
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