Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | Q1052 | TX |
NPI | 1093064438 |
---|---|
Provider Name | Michael Wesley Watkins |
First Address | Houston, TX 77030-5202 |
Second Address | Houston, TX 77030-3005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2012 |
Last Update Date | 04/03/2021 |