Watkins, Jeremy Paul

Watkins, Jeremy Paul is an sole proprietor health care provider with primary practice located at 5751 Edwards Ranch Road, Suite 200 , Fort Worth TX 76109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Watkins, Jeremy Paul can be contacted via phone (817) 332-8848.

Contact Information

Primary practice address
5751 Edwards Ranch Road, Suite 200 Fort Worth TX 76109
Fax: (817) 335-2670
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X M8419 Texas

Profile Details

NPI number 1780800938
LBN Legal business name Watkins, Jeremy Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Apr 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780800938 NPPES
Texas Other 8G2133 BCBS
Texas Other 760330807 BCBS
Texas Other M8419 BCBS

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