Watson, Agatha Rae

Watson, Agatha Rae is an individual health care provider with primary practice located at 800 Medical Center Dr Ste C , Decatur TX 76234-3844. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Watson, Agatha Rae can be contacted via phone (940) 626-2110.

Contact Information

Primary practice address
800 Medical Center Dr Ste C Decatur TX 76234-3844
Phone: (940) 626-2110
Fax: (940) 626-2113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05810 Texas

Profile Details

NPI number 1245492545
LBN Legal business name Watson, Agatha Rae
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated Jul 21st, 2021 - about 4 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 1245492545 NPPES
Texas MEDICAID 319647902
Texas Other 8N0426

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