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Contact Information

JEREMY P WATKINS, MD
5751 EDWARDS RANCH ROAD, SUITE 200
FORT WORTH, TX76109
 Phone: 817-332-8848
 Fax: 817-335-2670
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JEREMY P WATKINS · (Male)

NPI # 1780800938
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2007
Last updated 04/16/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # M8419
  • TX Other 8G2133 BCBS
  • TX Other M8419 LICENSE
  • TX Other 760330807 TAX ID
Hospital affiliation(s)
  • BAYLOR SURGICAL HOSPITAL AT FORT WORTH - (Acute Care)
    1800 PARK PLACE AVENUE
    FORT WORTH, TX 76110
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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