Provider Demographics
NPI:1740444660
Name:WATKINS FOOT CENTER,INC.
Entity type:Organization
Organization Name:WATKINS FOOT CENTER,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-454-3004
Mailing Address - Street 1:2520 HARVARD AVE
Mailing Address - Street 2:STE. 2B
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-1118
Mailing Address - Country:US
Mailing Address - Phone:504-454-3004
Mailing Address - Fax:504-454-3075
Practice Address - Street 1:2520 HARVARD AVE
Practice Address - Street 2:STE. 2B
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1118
Practice Address - Country:US
Practice Address - Phone:504-454-3004
Practice Address - Fax:504-454-3075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPD163R261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
1208110001Medicare NSC