Larry Joseph Watson Jr., CSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

3837 Issued in TX

Practice address

11023 S Country Club Green Dr
Tomball, TX 77375-7077

Phone

(214) 227-2457

Fax

(214) 764-0880

NPI assigned

Jun 19, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BJL LLC

  • Surgical Assistant
  • Tomball, TX
  • NPI 1255993697
  NPD

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1134482839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11023 SOUTH COUNTRY CLUB GREEN DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773757077",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11023 S COUNTRY CLUB GREEN DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773757077",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11023 South Country Club Green Dr",
            "address_purpose": "LOCATION",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375",
            "country_code": "US",
            "telephone_number": "281-806-4536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LARRY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "3837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "3837",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waqar a. Khan, M.D., PA
• Courtney Warren
• Quelyndria Washington
• Brittany Marie Taylor Watson, PA-C
• James D Watson, DDS, PA
• Sarah E Wattinger
• Waves Anesthesia PLLC
• Melanie Weaver, FNP-C
• Matthew Ryan Weber, R. EP T, CNIM
• West Coke County Hospital District

• Surgical Assistant in Tomball, TX
• Providers in Tomball, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.