Paul Wallace Watts in Abilene - Sports Medicine
Paul Wallace Watts - NPI 1285600684
Paul Wallace Watts is a Sports Medicine in Abilene, Texas. Paul Wallace Watts practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Paul Wallace Watts is 1285600684. The last update date is 2011-08-10.
Paul Wallace Watts's current location address is 1749 Pine St, Abilene, Texas. You can contact this provider via phone number 3256724372 and fax number 3256730856. The mailing address for Paul Wallace Watts is 1749 Pine St, Abilene, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Wallace Watts |
|---|---|
| Address | 1749 Pine St, Abilene, Texas |
| Phone Number | 3256724372 |
| Fax Number | 3256730856 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1285600684 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2011-08-10 |
Provider Mailing Address Detail
| Address | 1749 Pine St |
|---|---|
| City | Abilene |
| State | Texas (TX) |
| Post Code | 796013043 |
| Phone Number | 3256724372 |
| Fax Number | 3256730856 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | L5180 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200365110A | KS | -- | |
| 8K6896 | TX | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Paul Wallace Watts by the Centers for Medicare & Medicaid Services?
The Paul Wallace Watts has been issued the NPI (National Provider Identifier) 1285600684, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the Paul Wallace Watts's area of specialization and corresponding taxonomy classification?
The Paul Wallace Watts's specialty field is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their specialties.
On what date did the Paul Wallace Watts receive its 1285600684 assignment from the Centers for Medicare & Medicaid Services?
The Paul Wallace Watts was assigned its 1285600684 by the Centers for Medicare & Medicaid Services on 2006-02-24.
As of what date were the Paul Wallace Watts's details last updated?
The information pertaining to the Paul Wallace Watts, including its address, specialty, and other details, was most recently updated on 2011-08-10.
As of what date were the details related to Paul Wallace Watts most recently updated or revised?
The information pertaining to Paul Wallace Watts, including its address, specialty, and other relevant details, was last updated or revised on 2011-08-10.