Gary B. Watts, M.d, P.a. | |
2925 Country Club Rd Suite 102 Denton TX 76210-8603 | |
(940) 382-1120 | |
(940) 383-1499 |
Full Name | Gary B. Watts, M.d, P.a. |
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Speciality | Psychiatry & Neurology |
Location | 2925 Country Club Rd, Denton, Texas |
Authorized Official Name and Position | Gary B. Watts (PHYSICIAN OWNER/PRESIDENT) |
Authorized Official Contact | 9403821120 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gary B. Watts, M.d, P.a. 2925 Country Club Rd Suite 102 Denton TX 76210-8603 Ph: (940) 382-1120 | Gary B. Watts, M.d, P.a. 2925 Country Club Rd Suite 102 Denton TX 76210-8603 Ph: (940) 382-1120 |
NPI Number | 1518269133 |
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Provider Enumeration Date | 12/02/2010 |
Last Update Date | 12/02/2010 |
Medicare PECOS PAC ID | 1759579816 |
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Medicare Enrollment ID | O20101216000521 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518269133 | NPI | - | NPPES |
128256 | Other | MHN PROVIDER # | |
0612725 | Other | AETNA HMO PROV # | |
127555 | Other | VALUE OPTIONS PROV # | |
260016774 | Other | TX | RAILROAD MEDICARE PROIDER # |
136782306 | Medicaid | TX | |
0004266484 | Other | AETNA PPO PROVIDER # | |
E81496 | Other | STERLING OPTIONS PROV # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | H6692 (Texas) | Primary |
Provider Name | Gary B Watts |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598840191 PECOS PAC ID: 5698794121 Enrollment ID: I20101216000534 |
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