| NPI | 1649298175 |
|---|---|
| Other Name | MARVIN RAY WATSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 777525) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX DC6128) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-01-27 |