Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | D6930 | TX |
NPI | 1396858247 |
---|---|
Provider Name | Watson C Arnold |
First Address | Lubbock, TX 79430-9903 |
Second Address | Lubbock, TX 79430-9406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 19/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00U87Z | BCBSTX GRP PIN (01) | TX |
10028697 | AMERIGROUP PIN (01) | TX |
107700100 | FIRSTCARE PIN (01) | TX |
124027 | SUPERIOR PIN (01) | TX |
137831707 | CSHCN IND TPI NUMBER (01) | TX |
137831709 | (05) | TX |
138412511 | (05) | TX |
140442854 | (05) | TX |
1416412 | FIRSTHEALTH PIN (01) | TX |
378120 | PHCS PIN (01) | TX |
4243069 | AETNA PIN (01) | TX |
4605937 | CIGNA PIN (01) | TX |
822100 | UHC PIN (01) | TX |
87Y110 | BCBSTX IND PIN (01) | TX |
D04302 | (02) |