| Organization Name: | TERRY R. WATSON CLINIC |
| NPI Number: | 1023131273 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY R WATSON (DOCTOR) |
| Mailing Address: | 3618 Fairmount St Dallas |
| State: | TX US |
| Postal Code: | 752194709 |
| Phone Number: | 2145207200 |
| Fax Number: | 2145593053 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | F3376 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |