Provider Demographics
NPI:1356571020
Name:WATSON, PAUL V (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:V
Last Name:WATSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9410 DEER LODGE RD
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-4418
Mailing Address - Country:US
Mailing Address - Phone:281-259-4227
Mailing Address - Fax:281-259-6128
Practice Address - Street 1:9410 DEER LODGE RD
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-4418
Practice Address - Country:US
Practice Address - Phone:281-259-4227
Practice Address - Fax:281-259-6128
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD2623207ZP0102X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology