Active NPI
J. Don Wathers, M.D.
- Psychiatry Physician
- Harlingen, TX
National Provider Identifier
1215051818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G2509
- Practice address
- 1401 S Rangerville Rd
Harlingen, TX 78552-7638 - Phone
- (956) 364-8456
- Fax
- (956) 364-8497
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G2509 | TX | Primary |
Addresses
Primary practice location
1401 S Rangerville Rd
Harlingen, TX 78552-7638
Mailing address
2706 Pinehurst Dr
Harlingen, TX 78550-8697
Phone (956) 428-9652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G2509 | Other | TX | MD LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G2509 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215051818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 PINEHURST DR",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508697",
"telephone_number": "956-428-9652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S RANGERVILLE RD",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785527638",
"telephone_number": "956-364-8456",
"fax_number": "956-364-8497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATHERS",
"first_name": "J.",
"middle_name": "DON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "G2509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LIC",
"identifier": "G2509",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.