Provider Demographics
NPI:1972546448
Name:WATTERS, WILLIAM CHARLES III (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CHARLES
Last Name:WATTERS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 2600
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-790-1818
Mailing Address - Fax:713-790-7500
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 2600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-790-1818
Practice Address - Fax:713-790-7500
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG2508207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1166050-02Medicaid
TX4206473OtherAETNA US HEALTHCARE
TXP01556986OtherRR MEDICARE
TX8FX439OtherBLUE CROSS BLUE SHIELD
TX116605004Medicaid
TX116605005Medicaid
TX741660214OtherHEALTH NEW ENGLAND
TX200016149OtherMEDICARE RAILROAD
TX843085OtherBCBS OF TEXAS
TX2249254OtherCIGNA
TX843085OtherBCBS OF TEXAS
TX8FX439OtherBLUE CROSS BLUE SHIELD
TXP01556986OtherRR MEDICARE