Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | J5053 | TX |
NPI | 1043399322 |
---|---|
Provider Name | Dr. Herbert L Watkins |
First Address | Houston, TX 77015-4358 |
Second Address | Houston, TX 77015-4358 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 21/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
135715406 | (05) | TX |
135715412 | (05) | TX |
135715413 | (05) | TX |