Individual provider · Type 1 NPI
Wallace Watts Jr., NP-C
Family Nurse Practitioner · Fabens, TX
NPI number
1245772128
Active
Practice location
101 Potasio Street
Fabens, TX 79838
Mailing address
PO Box 202479
Dallas, TX 75320-2479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP132310 (TX) |
Family Nurse Practitioner: Definition to come...
About NPI 1245772128
Wallace Watts Jr., NP-C's National Provider Identifier is 1245772128, issued on Nov 9, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fabens, TX. The record was last updated on Nov 21, 2023.