Provider Demographics
NPI:1689614836
Name:WATSON, DAVID H (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:H
Last Name:WATSON
Suffix:
Gender:M
Credentials:MD
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 71
Mailing Address - Street 2:
Mailing Address - City:YOAKUM
Mailing Address - State:TX
Mailing Address - Zip Code:77995-0071
Mailing Address - Country:US
Mailing Address - Phone:361-293-2371
Mailing Address - Fax:361-741-5162
Practice Address - Street 1:402 HUBBARD ST
Practice Address - Street 2:
Practice Address - City:YOAKUM
Practice Address - State:TX
Practice Address - Zip Code:77995-4126
Practice Address - Country:US
Practice Address - Phone:361-293-2371
Practice Address - Fax:361-741-5162
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC6547207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC6547OtherLICENSE
TXV0011066OtherDPS
TXV0011066OtherDPS
TXV0011066OtherDPS
TXC23214Medicare UPIN
TXC6547OtherLICENSE