Terry R. Watson Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

F3376 Issued in TX

Legal business name

TERRY R. WATSON CLINIC

Practice address

3618 Fairmount St
Dallas, TX 75219-4709

Phone

(214) 520-7200

Fax

(214) 559-3053

NPI assigned

Apr 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Terry R Watson, D.O.NPI 1720076847

Title

Doctor

Phone

(214) 520-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry Watson, DO,PA

  • General Practice Physician
  • Dallas, TX
  • NPI 1720076847
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023131273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 FAIRMOUNT ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194709",
            "telephone_number": "214-520-7200",
            "fax_number": "214-559-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 FAIRMOUNT ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194709",
            "telephone_number": "214-520-7200",
            "fax_number": "214-559-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY R. WATSON CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "214-520-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "F3376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "POOOJK198",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Barney Terrell III, DDS
• Kevin Boyd Terrell, DDS
• Zachary Terrell, MD
• Tyler Alexander Terrill
• Terry M. Robinson, LPT, Inc.
• Twyla Cherie Terry-McCarrell, LPC-A
• Alexis Bridget Terry, COTA
• Carolyn M Terry, M.D.
• Christina Terry
• Trevor Fox Terry

• General Practice Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.