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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 1285600684 NPPES
Kansas MEDICAID 200365110A
Kansas Other 8K6896

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