Terry Watson, DO,PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

F3376 Issued in TX

Practice address

7920 Elmbrook Dr Ste 108
Dallas, TX 75247

Phone

(214) 221-8181

Fax

(214) 221-8282

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

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.

• Terry R. Watson Clinic

  • General Practice Physician
  • Dallas, TX
  • NPI 1023131273
  NPD (past) Authorized official

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1720076847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 ELMBROOK DR STE 108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474933",
            "telephone_number": "214-221-8181",
            "fax_number": "214-221-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 ELMBROOK DR STE 108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75247",
            "telephone_number": "214-221-8181",
            "fax_number": "214-221-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "DO,PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "F3376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000JK198",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Richard Watson, P.T.
• Rhoda Watson, NP
• Rhonda Watson, FNP
• Stacia M Watson
• Taylor Lynn Watson
• Tracy Lynn Payton Watson, LPC
• Jennifer Watt, RN, MSN, CNS
• Tanya Carens Watt, M.D.
• Lynn Watters
• Brittani Hale Wattiker, M.D.

• 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 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.