Provider Demographics
NPI:1225246960
Name:WATSON, PATRICIA K (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:K
Last Name:WATSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8687 LOUETTA RD
Mailing Address - Street 2:SUITE 275
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-6672
Mailing Address - Country:US
Mailing Address - Phone:281-320-0404
Mailing Address - Fax:281-370-3994
Practice Address - Street 1:8687 LOUETTA ROAD
Practice Address - Street 2:SUITE 275
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6672
Practice Address - Country:US
Practice Address - Phone:281-320-0404
Practice Address - Fax:281-370-3994
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG02682084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC23224Medicare UPIN
TXB64EMedicare ID - Type Unspecified