Active NPI
Jon Thomas Watson MD PA
Doing business as South Texas Mobile Imaging
- Diagnostic Radiology Physician
- Corpus Christi, TX
National Provider Identifier
1114366416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- L1234
- Legal business name
- JON THOMAS WATSON MD PA
- Doing business as
- South Texas Mobile Imaging
- Practice address
- 14838 Cobo de Bara Cir
Corpus Christi, TX 78418-6908 - Phone
- (361) 949-0994
- Fax
- (361) 228-2136
- NPI assigned
- Jun 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jon Thomas Watson, M.D.
- Title
- Owner/President
- Phone
- (361) 774-4831
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | L1234 | TX | Primary |
Addresses
Primary practice location
14838 Cobo de Bara Cir
Corpus Christi, TX 78418-6908
Mailing address
14838 Cobo de Bara Cir
Corpus Christi, TX 78418-6908
Phone (361) 949-0994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154427813 | Other | TX | NPI |
Other names 1
- South Texas Mobile Imaging
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383696000000",
"number": "1114366416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14838 COBO DE BARA CIR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784186908",
"telephone_number": "361-949-0994",
"fax_number": "361-228-2136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14838 COBO DE BARA CIR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784186908",
"telephone_number": "361-949-0994",
"fax_number": "361-228-2136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JON THOMAS WATSON MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-19",
"last_updated": "2013-11-06",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "361-774-4831",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "L1234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1154427813",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South Texas Mobile Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.