| NPI | 1619132321 |
|---|---|
| Former Legal Business Name | JEREMY P. WATKINS MD, L.L.C |
| Entity Type | Organization |
| Authorized Contact | JEREMY P WATKINS Owner Physician 817-335-8151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TX M8419) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |