Watson, Thomas R

Watson, Thomas R is an individual health care provider with primary practice located at 4100 Summerhill Rd , Texarkana TX 75503-2732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Watson, Thomas R can be contacted via phone (903) 735-9802.

Contact Information

Primary practice address
4100 Summerhill Rd Texarkana TX 75503-2732
Phone: (903) 735-9802
Fax: (903) 735-9806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X F7287 Texas

Profile Details

NPI number 1376541755
LBN Legal business name Watson, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jul 26th, 2014 - about 11 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 1376541755 NPPES
Arkansas Other 89209 BLUE CROSS
Arkansas Other 00107J BLUE CROSS
Arkansas MEDICAID 107757001 BLUE CROSS
Arkansas MEDICAID 131104508 BLUE CROSS
Arkansas MEDICAID 100145520B BLUE CROSS
Arkansas MEDICAID 131104504 BLUE CROSS

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