Basic Information
Provider Information
NPI: 1336102805
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WATSON
FirstName: MARGARET
MiddleName: A
NamePrefix: MRS.
NameSuffix:  
Credential: RNC, MSN, NNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3001 E PRESIDENT GEORGE BUSH HWY
Address2: SUITE 250
City: RICHARDSON
State: TX
PostalCode: 750823542
CountryCode: US
TelephoneNumber: 9724375099
FaxNumber:  
Practice Location
Address1: 3001 E PRESIDENT GEORGE BUSH HWY
Address2: SUITE 250
City: RICHARDSON
State: TX
PostalCode: 750823542
CountryCode: US
TelephoneNumber: 9724375099
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/07/2006
LastUpdateDate: 07/10/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LN0005X673702TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care

No ID Information.


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