Provider Demographics
NPI:1275748055
Name:WATSON, JAMES J (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:WATSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:425 SHADYLAWN ST
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:TX
Mailing Address - Zip Code:77571-7253
Mailing Address - Country:US
Mailing Address - Phone:281-842-7979
Mailing Address - Fax:281-842-7979
Practice Address - Street 1:425 SHADYLAWN ST
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:TX
Practice Address - Zip Code:77571-7253
Practice Address - Country:US
Practice Address - Phone:281-842-7979
Practice Address - Fax:281-842-7979
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ03462083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine