Watkins Medical Enterprise, PLLC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L3519 Issued in TX

Legal business name

WATKINS MEDICAL ENTERPRISE, PLLC.

Practice address

1151 N Buckner Blvd
Suite 302
Dallas, TX 75218-3426

Phone

(214) 321-6511

Fax

(214) 321-1195

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Cheletta Lashelle Watkins, M.D.

Title

President/Ceo

Phone

(214) 321-6511

Specialties & licenses 1

Addresses

Other names 1

• Family Medical Center at White Rock Doing business as

Locations

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1811188774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N BUCKNER BLVD",
            "address_2": "SUITE 302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183426",
            "telephone_number": "214-321-6511",
            "fax_number": "214-321-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N BUCKNER BLVD",
            "address_2": "SUITE 302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183426",
            "telephone_number": "214-321-6511",
            "fax_number": "214-321-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATKINS MEDICAL ENTERPRISE, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "CHELETTA",
        "authorized_official_middle_name": "LASHELLE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "214-321-6511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Center at White Rock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Polly Ann Waters, RNFA, FNP-C
• Selah Waters
• Thomas Patrick Waters III, D.C.
• Monica Fay Watford
• William Francis Wathen, DMD
• Carolyn Elizabeth Watkins, RN
• Cheletta Lashelle Watkins, M.D.
• Cynthia A. Watkins, FNP
• David L. Watkins, M.D.
• Dustan Faye Watkins

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.