Organization Active NPI

Larry C. Watson, MD, PA

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1922135060
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LARRY C. WATSON, MD, PA
Practice address
2060 Space Park Drive
#100
Houston, TX 77058-3674
Phone
(281) 333-1703
Fax
(281) 333-5970
NPI assigned
Feb 27, 2007
Last updated
May 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Larry C Watson, M.D.NPI 1174551402
Title
Owner
Phone
(281) 333-1703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

2060 Space Park Drive
#100
Houston, TX 77058-3674

Mailing address

PO Box 58382
Houston, TX 77258-8382
Phone (281) 333-1703

Other identifiers 2

IdentifierTypeStateIssuer
0078PZOtherTXBCBS
1034248701MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1922135060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58382",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772588382",
            "telephone_number": "281-333-1703",
            "fax_number": "281-333-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 SPACE PARK DRIVE",
            "address_2": "#100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583674",
            "telephone_number": "281-333-1703",
            "fax_number": "281-333-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY C. WATSON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-333-1703",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0078PZ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034248701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.