Watters, Mary Katherine
Watters, Mary Katherine is an individual health care provider with primary practice located at 100 Bourland Rd Ste 130 , Keller TX 76248-3595. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Watters, Mary Katherine can be contacted via phone (817) 359-9000.Contact Information
Primary practice address
100 Bourland Rd Ste 130
Keller TX 76248-3595
Phone: (817) 359-9000
Fax: (817) 284-8943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Q9763 | Texas |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | Q9763 | Texas |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | Q9763 | Texas |
Profile Details
| NPI number | 1578900247 |
|---|---|
| LBN Legal business name | Watters, Mary Katherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2013 |
| Last updated | Oct 20th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578900247 | NPPES |
| Texas | MEDICAID | 402024001 |
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