Provider Demographics
NPI:1194231670
Name:WATSON, DANIKA (NP)
Entity Type:Individual
Prefix:
First Name:DANIKA
Middle Name:
Last Name:WATSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:BARRY
Mailing Address - State:TX
Mailing Address - Zip Code:75102-0083
Mailing Address - Country:US
Mailing Address - Phone:903-654-2691
Mailing Address - Fax:
Practice Address - Street 1:301 HOSPITAL DR STE 150
Practice Address - Street 2:
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-2471
Practice Address - Country:US
Practice Address - Phone:903-654-2691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-20
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135536363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care