Watts, Paul Wallace
Watts, Paul Wallace is an individual health care provider with primary practice located at 1749 Pine St , Abilene TX 79601-3043. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Watts, Paul Wallace can be contacted via phone (325) 672-4372.Contact Information
Primary practice address
1749 Pine St
Abilene TX 79601-3043
Phone: (325) 672-4372
Fax: (325) 673-0856
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | L5180 | Texas |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | L5180 | Texas |
Profile Details
NPI number | 1285600684 |
---|---|
LBN Legal business name | Watts, Paul Wallace |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 24th, 2006 |
Last updated | Aug 10th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285600684 | NPPES |
Kansas | MEDICAID | 200365110A | |
Kansas | Other | 8K6896 |
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