| M. Paul Watson, M.d. A Medical Corporation | |
|
3510 Medical Park Dr Suite 1 Monroe LA 71203-2384 | |
| (318) 388-1662 | |
| Not Available |
| Full Name | M. Paul Watson, M.d. A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 3510 Medical Park Dr, Monroe, Louisiana |
| Authorized Official Name and Position | Paul Watson (OWNER) |
| Authorized Official Contact | 3183881662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Paul Watson, M.d. A Medical Corporation 3510 Medical Park Dr Suite 1 Monroe LA 71203-2384 Ph: (318) 388-1662 | M. Paul Watson, M.d. A Medical Corporation 3510 Medical Park Dr Suite 1 Monroe LA 71203-2384 Ph: (318) 388-1662 |
| NPI Number | 1487822946 |
|---|---|
| Provider Enumeration Date | 02/18/2008 |
| Last Update Date | 05/07/2013 |
| Medicare PECOS PAC ID | 6002990751 |
|---|---|
| Medicare Enrollment ID | O20080220000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487822946 | NPI | - | NPPES |
| 1025178 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 012676 (Louisiana) | Primary |
| Provider Name | Michael P Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245429471 PECOS PAC ID: 0941384697 Enrollment ID: I20080220000165 |
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