Provider Demographics
NPI:1518467083
Name:WATTS, CHRISTY (LVN)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:WATTS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:VANN
Other - Last Name:WATTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LVN
Mailing Address - Street 1:230 PRIVATE ROAD 6790
Mailing Address - Street 2:
Mailing Address - City:COLMESNEIL
Mailing Address - State:TX
Mailing Address - Zip Code:75938-5056
Mailing Address - Country:US
Mailing Address - Phone:409-429-4045
Mailing Address - Fax:
Practice Address - Street 1:3315 MARQUART ST STE 209
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6027
Practice Address - Country:US
Practice Address - Phone:713-799-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215240164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse