| Terry R. Watson Clinic | |
|
3618 Fairmount St Dallas TX 75219-4709 | |
| (214) 520-7200 | |
| (214) 559-3053 |
| Full Name | Terry R. Watson Clinic |
|---|---|
| Speciality | General Practice |
| Location | 3618 Fairmount St, Dallas, Texas |
| Authorized Official Name and Position | Terry R Watson (DOCTOR) |
| Authorized Official Contact | 2145207200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry R. Watson Clinic 3618 Fairmount St Dallas TX 75219-4709 Ph: (214) 520-7200 | Terry R. Watson Clinic 3618 Fairmount St Dallas TX 75219-4709 Ph: (214) 520-7200 |
| NPI Number | 1023131273 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023131273 | NPI | - | NPPES |
| POOOJK198 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | F3376 (Texas) | Primary |
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