Jerome Bradfield Watson in Texarkana - Gerontology
Jerome Bradfield Watson - NPI 1538162045
Jerome Bradfield Watson is a Gerontology in Texarkana, Texas. Jerome Bradfield Watson practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Jerome Bradfield Watson is 1538162045. The last update date is 2023-07-03.
Jerome Bradfield Watson's current location address is 7209 Goldfinch Rd, Texarkana, Texas. You can contact this provider via phone number 9033348132 and fax number 9033348146. The mailing address for Jerome Bradfield Watson is 7209 Goldfinch Rd, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Bradfield Watson |
|---|---|
| Address | 7209 Goldfinch Rd, Texarkana, Texas |
| Phone Number | 9033348132 |
| Fax Number | 9033348146 |
| Sole Proprietor | Y |
| Credentials | GNP |
NPI Number Detail
| NPI Number | 1538162045 |
|---|---|
| Provider Enumeration Date | 2005-05-30 |
| Last Updated Date | 2023-07-03 |
Provider Mailing Address Detail
| Address | 7209 Goldfinch Rd |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 7550102270 |
| Phone Number | 9033348132 |
| Fax Number | 9033348146 |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 605190 |
|
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29325001 | TX | -- | |
| 500004259 | AR | RAILROAD MEDICARE | |
| 29325004 | TX | -- | |
| 160262762 | AR | -- | |
| 5U081 | AR | MEDICARE - LEGACY NUMBER | |
| P00267929 | TX | TX RAILROAD MEDICARE | |
| 145430758 | AR | -- | |
| 500004259 | TX | RAILROAD MEDICARE | |
| 29325002 | TX | -- | |
| 100082540A | OK | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jerome Bradfield Watson by the Centers for Medicare & Medicaid Services?
The Jerome Bradfield Watson has been issued the NPI (National Provider Identifier) 1538162045. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jerome Bradfield Watson is physically located?
The Jerome Bradfield Watson is physically situated at the following address: 7209 Goldfinch Rd, Texarkana, TX, 7550102270.
What is Jerome Bradfield Watson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerome Bradfield Watson is Gerontology, and the taxonomy classification code that categorizes this area of expertise is 363Lg0600X.
On what date did Jerome Bradfield Watson receive its 1538162045 assignment from the Centers for Medicare & Medicaid Services?
The Jerome Bradfield Watson was assigned its 1538162045 on 2005-05-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jerome Bradfield Watson most recently updated or revised?
The information pertaining to Jerome Bradfield Watson, including its address, specialty, and other relevant details, was last updated or revised on 2023-07-03.