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Individual

WILLIAM CHARLES WATTERS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G2508
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G2508
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1166050-02
TX
05
116605004
TX
05
116605005
TX
01
200016149
MEDICARE RAILROAD
TX
01
2249254
CIGNA
TX
01
4206473
AETNA US HEALTHCARE
TX
01
741660214
HEALTH NEW ENGLAND
TX
01
843085
BCBS OF TEXAS
TX
01
8FX439
BLUE CROSS BLUE SHIELD
TX
01
P01556986
RR MEDICARE
TX
Enumeration date
06/13/2006
Last updated
08/15/2016
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